Imtiaz A. Mallick Physician P.C

LBN: Imtiaz A. Mallick Physician P.C
Imtiaz A. Mallick Physician P.C is an health care organization with primary practice located at 798 Route 9 , Fishkill NY 12524-1393. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Imtiaz A. Mallick Physician P.C can be contacted via phone (845) 896-2204, or through Mallick, Imtiaz A via phone (845) 896-2204.

Contact Information

Primary practice address
798 Route 9 Fishkill NY 12524-1393
Phone: (845) 896-2204
Fax: (845) 896-5173
Website:
Map and Directions
Authorized official contact:
Name: Mallick, Imtiaz A Doctor of Medicine (MD)
Phone: (845) 896-2204

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 196451 New York
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1083946792
LBN Legal business name Imtiaz A. Mallick Physician P.C
DBA Doing business as
Authorized official Mallick, Imtiaz A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2010
Last updated Mar 5th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083946792 NPPES
New York MEDICAID 01485712

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