National Provider Identifier

Amir Mahfooz Mullick, MD

Amir Mahfooz Mullick, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Elmira, NY and a listed phone number of (607) 737-4100.

NPI 1780487264Elmira, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1780487264
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 31, 2025
Last Updated
March 31, 2025

Practice Location

  • 600 Roe Ave
  • Elmira, NY 14905-1629

Phone: (607) 737-4100

Mailing Address

  • 1278 Saxon Ave
  • Bay Shore, NY 11706-4746

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1780487264
Entity Type
Individual
Last Name
Mullick
First Name
Amir
Middle Name
Mahfooz
Credential
MD
Mailing Street Address
1278 Saxon Ave
Mailing City
Bay Shore
Mailing State
NY
Mailing ZIP Code
11706-4746
Mailing Country
US
Mailing Phone
(631) 332-4344
Practice Street Address
600 Roe Ave
Practice City
Elmira
Practice State
NY
Practice ZIP Code
14905-1629
Practice Country
US
Practice Phone
(607) 737-4100
Enumeration Date
March 31, 2025
Last Updated
March 31, 2025
Sex
Male
Sole Proprietor
No
Certification Date
March 31, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)