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1427615665
ALI IMRAN MALLICK
STATEN ISLAND, NY
NPI
1427615665
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-23
Last Update Date
2019-05-23
Business Address
Dr. ALI IMRAN MALLICK
355 BARD AVE DEPARTMENT OF PSYCHIATRY, 1ST FLOOR
STATEN ISLAND, NY 10310
Phone number: 718-818-4121
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Mailing Address
Dr. ALI IMRAN MALLICK
7534 193RD ST
FRESH MEADOWS, NY 11366-1834
Phone number: 917-650-9930
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