Imtiaz A Mallick (NPI# 1215943832, PAC ID# 2860535747) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1215943832 |
| PAC ID by PECOS | 2860535747 |
| Professional Enrollment ID | I20100201000111 |
| Full Name | Imtiaz A Mallick |
| Address |
798 Route 9 Fishkill NY 12524-1393 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | INTERNAL MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330264 | ST LUKE'S CORNWALL HOSPITAL |
| 330023 | VASSAR BROTHERS MEDICAL CENTER |
| 330049 | NORTHERN DUTCHESS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 798 Route 9, Fishkill, NY 12524-1393 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 100% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 1% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 75% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 94% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% |
| Street Address |
798 ROUTE 9 |
| City | FISHKILL |
| State | NY |
| Zip | 12524-1393 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas L Vanaken | Psychiatry | 798 Route 9, Suite A, Fishkill, NY 12524-1394 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brett Michael Laffin | Physical Therapy | Harrison Physical Therapy, P.C. | 798 Route 9 B, Fishkill, NY 12524 |
| Nicole F Casella | Physical Therapy | Harrison Physical Therapy, P.C. | 798 Route 9 B, Fishkill, NY 12524 |
| Matthew John Harrison | Physical Therapy | Harrison Physical Therapy, P.C. | 798 Route 9 B, Fishkill, NY 12524 |
| Jared Anthony Debenedictus | Physical Therapy | Harrison Physical Therapy, P.C. | 798 Route 9 B, Fishkill, NY 12524 |
| Karen E Decrosta | Physical Therapy | Dennis C. Lopez Physical Therapy, P.C. | 1222 Hopewell Ave, Fishkill, NY 12524-1335 |
| Dennis Lopez | Physical Therapy | Dennis C. Lopez Physical Therapy, P.C. | 1222 Hopewell Ave, Fishkill, NY 12524-1335 |
| Alex Gindes | Psychologist, Clinical | 2 Summit Ct, Suite 204, Fishkill, NY 12524-1385 | |
| Josef G Bieber | Oral Surgery | 841 Route 52, Fishkill, NY 12524-1516 | |
| James B Akinwunmi | Physical Therapy | 1538 Route 52, Fishkill, NY 12524-1621 | |
| Karen K March | Chiropractic | 1534 Route 52 E, March Chiropractic, Fishkill, NY 12524-1632 | |
| Find all physicians in zip 12524 | |||
| City | FISHKILL |
| Zip Code | 12524 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | FISHKILL + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Imtiaz A Mallick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.