Individual
DR. ALI IMRAN MALLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
355 BARD AVE, DEPARTMENT OF PSYCHIATRY, 1ST FLOOR, STATEN ISLAND, NY 10310
(718) 818-4121
Mailing address
7534 193RD ST, FRESH MEADOWS, NY 11366-1834
(917) 650-9930
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
320321
NY
2084P0804X
Child & Adolescent Psychiatry Physician
320321
NY
Other
Enumeration date
05/23/2019
Last updated
09/16/2025
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