Individual
FARZANA MALLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16515 CHAPIN CT, JAMAICA, NY 11432-1904
(917) 783-8621
(718) 725-6411
Mailing address
16515 CHAPIN CT, JAMAICA, NY 11432-1904
(917) 783-8621
(718) 725-6411
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
759935
NY
Other
Enumeration date
11/01/2013
Last updated
11/01/2013
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