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NPI Code Detail

MEDICARE: ADAM MALIK DO

MEDICARE: ADAM MALIK DO
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
12084P0800XPsychiatry Physician20A2484CA
22084P0800XPsychiatry PhysicianOS023096PA

General Provider Information

NPI Number : 1407434665
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM MALIK DO
Provider Business Mailing Address
First Line : 6 HIGH MEADOW RD
Second Line :
City : GOSHEN
State : NY
Zip : 10924-5330
Country : US
Telephone Number : 845-238-1120
Fax Number :
Provider Business Practice Location Address
First Line : 3200 E GUASTI RD STE 100
Second Line :
City : ONTARIO
State : CA
Zip : 91761-8661
Country : US
Telephone Number : 909-789-0260
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2021
Last Update Date : 06/04/2026

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Directions to “ ADAM MALIK DO” Practice Location

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