Individual
JUBIL MALIECKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
242 DEKALB AVE, BROOKLYN, NY 11205-4118
(718) 789-7100
(718) 399-7155
Mailing address
242 DEKALB AVE, BROOKLYN, NY 11205-4118
(718) 789-7100
(718) 399-7155
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
136676
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00736732
—
NY
Enumeration date
04/11/2007
Last updated
07/09/2007
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