MEDICARE: MALIKA NOVA

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
1	163WP0808X	Psychiatric/Mental Health Registered Nurse	798483	NY

General Provider Information

NPI Number	:	1720970056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALIKA NOVA

Provider Business Mailing Address
First Line	:	373 AVENUE S APT 1B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2922
Country	:	US
Telephone Number	:	347-707-6454
Fax Number	:

Provider Business Practice Location Address
First Line	:	373 AVENUE S APT 1B
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11223-2922
Country	:	US
Telephone Number	:	347-707-6454
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	03/17/2026

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Directions to “ MALIKA NOVA ” Practice Location

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