Provider Demographics
NPI:1376941245
Name:MALIK, SHEREEN (MSED)
Entity Type:Individual
Prefix:
First Name:SHEREEN
Middle Name:
Last Name:MALIK
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 47TH ST APT FA3
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2824
Mailing Address - Country:US
Mailing Address - Phone:917-698-4882
Mailing Address - Fax:
Practice Address - Street 1:914 47TH ST APT FA3
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2824
Practice Address - Country:US
Practice Address - Phone:917-698-4882
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist