Active NPIIndividual providerSole proprietor

Malik Campbell

Physical Therapist in Fleetwood, New York

NPI Number1346015708
Practice location
559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552-2155
Fax
—
Last updated
November 16, 2023

Malik Campbell is a Physical Therapist based in Fleetwood, NY. Malik Campbell practices in Fleetwood, NY. The NPI Number for Malik Campbell is 1346015708 and holds a License No. 051191 (NY). The current practice location address for Malik Campbell is 559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552-2155 and can be reached out via phone at 914-371-1990.

Provider Profile Details

NPI Number
1346015708
Provider Name
Malik Campbell
Provider Entity Type
Individual
Gender
Male
Address
559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552-2155
Phone Number
914-371-1990
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
November 16, 2023
Last Update Date
November 16, 2023
Certification Date
November 16, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
559 Gramatan Ave Ste 203-205
Fleetwood, NY 10552-2155
Zip
10552-2155
Phone Number
914-371-1990
Fleetwood, NY 10552Get directions →

Provider Business Mailing Address Details

Address
576 Broadhollow RD
Melville, NY 11747-5002
City
Melville
State
NY
Zip
11747-5002
Phone Number
631-359-5859

License Information

License Number
051191
License State
NY
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Malik Campbell?

The NPI number of Malik Campbell is 1346015708. It was assigned on November 16, 2023 and is currently active in the NPPES registry.

What is the specialty of Malik Campbell?

Malik Campbell is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 051191.

Where does Malik Campbell practice?

The practice location is 559 Gramatan Ave Ste 203-205, Fleetwood, NY 10552-2155. The office can be reached at 914-371-1990 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346015708 directly on the NPPES registry website.

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