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General NPI Number Information
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NPI Number | 1215161047
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Entity Type | Organization
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Legal Business Name | SAJID MALIK, MD PC
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Dates
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Enumeration Date | 05/07/2009
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 9014 ELMHURST AVE
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City | JACKSON HEIGHTS
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State | NY
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Zip | 11372-7936
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Country | US
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Telephone | 718-651-2200
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Fax | 718-651-6556
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Provider Business Mailing Address
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Address Line | PO BOX 680069
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City | CORONA
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State | NY
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Zip | 11368-0069
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Country | US
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Telephone | 718-651-2200
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Fax | 718-651-6556
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAJID MALIK
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Credential | MD
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Telephone | 718-651-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 183286-1
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License Number State | NY
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