MR. Abdelkader Mallouk, MD, OD

NPI #1407949621 in Horseheads, New York

Provider Information

NPI Number: 1407949621
Entity Type: Individual
Name: MR. Abdelkader Mallouk, MD, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD, OD
Enumeration Date: Oct 2, 2006
Last Updated: Apr 11, 2022

Practice Location

Address: 100 JOHN ROEMMELT DR STE 302
City: Horseheads
State: New York
ZIP Code: 14845-8304
Phone: (607) 873-1810

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Family Medicine - Addiction Medicine — Addiction Medicine	207QA0401X
Family Medicine	207Q00000X	Primary

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