Provider Demographics
NPI:1528213311
Name:MALIK, MANMEET K (DO)
Entity Type:Individual
Prefix:
First Name:MANMEET
Middle Name:K
Last Name:MALIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:5645 MAIN ST
Mailing Address - Street 2:W-LL300
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5045
Mailing Address - Country:US
Mailing Address - Phone:718-445-0220
Mailing Address - Fax:718-961-1853
Practice Address - Street 1:56-26 MAIN STREET
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5045
Practice Address - Country:US
Practice Address - Phone:718-670-1185
Practice Address - Fax:718-670-2312
Is Sole Proprietor?:No
Enumeration Date:2008-11-21
Last Update Date:2022-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY265974208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery