Doctor Name: | JOSEPH EDWARD MALIKIAN |
NPI Number: | 1487711008 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH D |
License Number: | 009544 |
Business Practice Address: | 359 East Main Street Suite 3a2 Mt Kisco, NY - 10549 |
Business Phone Number: | 9146663546 |
Business Fax Number: | 9142767674 |
Mailing Address: | 359 East Main Street, Suite 3a2 MT KISCO |
State: | NY |
Postal Code: | 10549 |
Phone Number: | 9146663546 |
Fax Number: | 9142767674 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 009544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |