Provider Demographics
NPI:1558701508
Name:DIANATI MALEKI, NEDA (MD, MSC, FACC)
Entity Type:Individual
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First Name:NEDA
Middle Name:
Last Name:DIANATI MALEKI
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Gender:F
Credentials:MD, MSC, FACC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:STONY BROOK UNIVERSITY, DIVISION OF CARDIOLOGY
Mailing Address - Street 2:HEALTH SCIENCES CENTER 16-080
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11794
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:ADVANCED SPECIALTY CARE- CARDIOLOGY
Practice Address - Street 2:500 COMMACK RD, SUITE 203
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725
Practice Address - Country:US
Practice Address - Phone:631-444-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-03
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY293026207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease