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NPI Code Detail

MEDICARE: AMNA MALIK

MEDICARE: AMNA 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
1122300000XDentistDEN2000494DC
2122300000XDentist0401417310VA
3122300000XDentist19101MD
4122300000XDentist062201-01NY

General Provider Information

NPI Number : 1508495581
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMNA MALIK
Provider Business Mailing Address
First Line : 89 RHODES DR
Second Line :
City : NEW HYDE PARK
State : NY
Zip : 11040-3527
Country : US
Telephone Number : 571-345-4482
Fax Number :
Provider Business Practice Location Address
First Line : 3131 LONG BEACH RD
Second Line :
City : OCEANSIDE
State : NY
Zip : 11572-4107
Country : US
Telephone Number : 516-548-7397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2020
Last Update Date : 01/13/2026

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Directions to “ AMNA MALIK ” Practice Location

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