Provider Demographics
NPI:1629528625
Name:MALIK, ALMA AMANI
Entity Type:Individual
Prefix:MS
First Name:ALMA
Middle Name:AMANI
Last Name:MALIK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24902 JERICHO TPKE
Mailing Address - Street 2:STE. 207
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-4023
Mailing Address - Country:US
Mailing Address - Phone:718-635-2404
Mailing Address - Fax:718-889-7400
Practice Address - Street 1:24902 JERICHO TPKE
Practice Address - Street 2:STE. 207
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-4023
Practice Address - Country:US
Practice Address - Phone:718-635-2404
Practice Address - Fax:718-889-7400
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator