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NPI Code Detail

MEDICARE: DR. ADEEL MALIK DO

MEDICARE: DR. ADEEL 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
1208100000XPhysical Medicine & Rehabilitation Physician311799NY

General Provider Information

NPI Number : 1790217008
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ADEEL MALIK DO
Provider Business Mailing Address
First Line : 150 EILEEN WAY UNIT 1
Second Line :
City : SYOSSET
State : NY
Zip : 11791-5313
Country : US
Telephone Number : 516-855-5255
Fax Number :
Provider Business Practice Location Address
First Line : 134 GREAT EAST NECK RD
Second Line :
City : WEST BABYLON
State : NY
Zip : 11704-8027
Country : US
Telephone Number : 631-422-4800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2017
Last Update Date : 12/27/2021

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