Individual
MAHJABEEN MALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 FLETCHER AVE, VALLEY STREAM, NY 11580-4048
(516) 561-1457
Mailing address
101 FLETCHER AVE, VALLEY STREAM, NY 11580-4048
(516) 561-1457
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
144894
NY
208D00000X
General Practice Physician
144894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00665343
—
NY
Enumeration date
06/29/2014
Last updated
06/29/2014
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