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NPI Code Detail

MEDICARE: TAZEEN MALIK

MEDICARE: TAZEEN MALIK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1730021700
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAZEEN MALIK
Provider Business Mailing Address
First Line : 707 E MAIN ST
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2650
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 707 E MAIN ST
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-2650
Country : US
Telephone Number : 845-333-7373
Fax Number : 845-333-7342
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2026
Last Update Date : 04/22/2026

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Directions to “ TAZEEN MALIK ” Practice Location

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