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Individual

DR. ABIDA K MALLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1200 ROUTE 300, NEWBURGH, NY 12550-5003
(845) 703-6999
(845) 703-6297
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
189662
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01361733
NY
Enumeration date
12/29/2006
Last updated
10/09/2020
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