Mallick, Ali Imran
Mallick, Ali Imran is an individual health care provider with primary practice located at 355 Bard Ave Department Of Psychiatry, 1St Floor, Staten Island NY 10310. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Mallick, Ali Imran can be contacted via phone (718) 818-4121.Contact Information
Primary practice address
355 Bard Ave Department Of Psychiatry, 1St Floor
Staten Island NY 10310
Phone: (718) 818-4121
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 320321 | New York |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 320321 | New York |
Profile Details
| NPI number | 1427615665 |
|---|---|
| LBN Legal business name | Mallick, Ali Imran |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2019 |
| Last updated | Sep 16th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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