Individual
NBBA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 VETERANS PKWY, SUITE 1100, CLARKSVILLE, IN 47129-8724
(812) 704-5521
Mailing address
10 HANOVER SQ, APT 17Q, NEW YORK, NY 10005-3569
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009238
NY
Other
Enumeration date
06/16/2015
Last updated
02/10/2021
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