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NPI Code Detail

MEDICARE: MALAK MUNIR

MEDICARE:   MALAK  MUNIR
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNY

General Provider Information

NPI Number : 1578402624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MALAK MUNIR
Provider Business Mailing Address
First Line : 1425 PORTLAND AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-3011
Country : US
Telephone Number : 585-922-4365
Fax Number : 585-922-4440
Provider Business Practice Location Address
First Line : 1425 PORTLAND AVE
Second Line :
City : ROCHESTER
State : NY
Zip : 14621-3011
Country : US
Telephone Number : 585-922-4365
Fax Number : 585-922-4440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ MALAK MUNIR ” Practice Location

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