Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Imtiaz A Mallick, MD

Individual provider Internal Medicine Physician · NPI 1215943832

Imtiaz A Mallick, MD is an Internal Medicine in Fishkill, New York. Qualified in 1985, 41 years ago. Practices with Bronx Medical Practice PC, a 136-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
41
Licensed in
NY
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

798 Route 9
Fishkill, NY 12524-1393
Phone: (845) 896-2204
Fax: (845) 896-5173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 196451 (NY)

Record details

NPI number1215943832
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 1, 2006
Last updated in NPPESMarch 5, 2022
Certification dateMarch 5, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Bronx Medical Practice Pc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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