Provider Demographics
NPI:1326217894
Name:MALIK, NAHEED KAUSER (OD)
Entity Type:Individual
Prefix:DR
First Name:NAHEED
Middle Name:KAUSER
Last Name:MALIK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8633 BROADWAY
Mailing Address - Street 2:EAST WEST OPTICIANS
Mailing Address - City:ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11373
Mailing Address - Country:US
Mailing Address - Phone:718-335-6000
Mailing Address - Fax:718-457-5988
Practice Address - Street 1:8633 BROADWAY
Practice Address - Street 2:EAST WEST OPTICIANS
Practice Address - City:ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11373
Practice Address - Country:US
Practice Address - Phone:718-335-6000
Practice Address - Fax:718-457-5988
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYTUV006469-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist