Organization · Type 2 NPI
Shahla Mallick Medical PC
Primary Care Clinic/Center · Brooklyn, NY
NPI number
1245536440
Active
Practice location
517 54th St
Brooklyn, NY 11220-3114
Fax (718) 833-7861
Mailing address
208 Parkway Dr
Roslyn Heights, NY 11577-2737
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 217612 (NY) |
Primary Care Clinic/Center: Definition to come...
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About NPI 1245536440
Shahla Mallick Medical PC's National Provider Identifier is 1245536440, issued on Feb 4, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 4, 2024.