Individual
DR. FAIZA KAMAL MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
755 PARK AVE STE 145, HUNTINGTON, NY 11743-3975
(631) 261-4445
Mailing address
775 PARK AVE STE 145, HUNTINGTON, NY 11743-7513
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
311732
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
03/26/2018
Last updated
04/01/2022
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