| Doctor Name: | MAHJABEEN MALIK |
| NPI Number: | 1487069431 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 144894 |
| Business Practice Address: | 101 Fletcher Ave Valley Stream, NY - 115804048 |
| Business Phone Number: | 5165611457 |
| Business Fax Number: | |
| Mailing Address: | 101 Fletcher Ave, VALLEY STREAM |
| State: | NY |
| Postal Code: | 115804048 |
| Phone Number: | 5165611457 |
| Fax Number: | |
| NPI Enumeration Date: | 06/29/2014 |
| NPI Last Update Date: | 06/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 144894 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |