Individual
MALIK M WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
234 E 149TH ST, BRONX, NY 10451-5504
(718) 579-6010
Mailing address
1712 BUSSING AVE, BRONX, NY 10466-2029
(718) 547-7620
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
242624
NY
Other
Enumeration date
04/18/2007
Last updated
04/09/2021
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