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NPI 1598025157

NPI 1598025157 : SAJID MALIK MD PC : HOLLIS, NY

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General NPI Number Information
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    NPI Number           |    1598025157
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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     |    05/16/2012
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    Last Update Date     |    01/08/2025
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Provider Practice Location Address
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    Address Line         |    20504 HILLSIDE AVE 
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    City                 |    HOLLIS
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    State                |    NY
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    Zip                  |    11423-2218
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    Country              |    US
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    Telephone            |    718-464-2020
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    Fax                  |    718-464-2030
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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            |    718-464-2020
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    Fax                  |    718-464-2030
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |     SAJID  MALIK 
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    Credential           |    MD
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    Telephone            |    718-464-2020
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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
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    License Number State |    NY
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