Healthcare Provider Details

I. General information

NPI: 1689810558
Provider Name (Legal Business Name): SABRINA KAUR MALIK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SABRINA KAUR PANESAR MD

II. Dates (important events)

Enumeration Date: 12/26/2008
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 GRASSLANDS RD DEPARTMENT OF NEWBORN MEDICINE
VALHALLA NY
10595-1652
US

IV. Provider business mailing address

150 BERGEN ST UMDNJ HOSPITAL RM D347
NEWARK NJ
07103-2496
US

V. Phone/Fax

Practice location:
  • Phone: 914-493-8558
  • Fax:
Mailing address:
  • Phone: 973-972-6014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number253546
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: