Individual
GEETA MALIECKAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-2864
Mailing address
300 COMMUNITY DR, MANHASSET, NY 11030-3816
(516) 562-2864
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2972291
NY
207R00000X
Internal Medicine Physician
Primary
4301116926
MI
Other
Enumeration date
06/28/2015
Last updated
08/02/2021
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