Imtiaz A. Mallick Physician P.c

NPI #1083946792 in Fishkill, New York

Provider Information

NPI Number: 1083946792
Entity Type: Organization
Organization Name: Imtiaz A. Mallick Physician P.c
Primary Specialty: Internal Medicine
Enumeration Date: Feb 4, 2010
Last Updated: Mar 5, 2022

Practice Location

Address: 798 ROUTE 9
City: Fishkill
State: New York
ZIP Code: 12524-1393
Phone: (845) 896-2204

Authorized Official

Name: IMTIAZ A MALLICK, M.D.
Title: PRESIDENT & CEO
Phone: (845) 896-2204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Internal Medicine	207R00000X	Primary

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