Organization
ABDUL MALIK PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDUL MALIK M.D. (PRESIDENT)
(718) 469-4006
Entity
Organization
Contact information
Practice address
1 VILLADOM CT, DIX HILLS, NY 11746-5444
(718) 469-4006
Mailing address
1 VILLADOM CT, DIX HILLS, NY 11746-5444
(718) 469-4006
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A100045528
PTAN
NY
Enumeration date
06/05/2009
Last updated
05/19/2011
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