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Contact Information

DEEPA MALIECKAL, MD
242 DEKALB AVE FL 2
BROOKLYN, NY11205-4118
 Phone: 718-789-7100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DEEPA MALIECKAL · (Female)

NPI Number 1841516309
Status Active
Credentials MD
Entity Individual
Enumeration date 04/08/2010
Last updated 03/17/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 263207
  • NY Medicaid 04318681
Hospital affiliation(s)
  • LONG ISLAND JEWISH MEDICAL CENTER - (Acute Care)
    270 - 05 76TH AVENUE
    NEW HYDE PARK, NY 11040
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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