IndividualActive
Abdelkader Mallouk, MD, OD
NPI 1407949621 · Family Medicine Physician · Horseheads, NY
Provider details
- NPI number
- 1407949621
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, OD
- Sex
- Male
- Sole proprietor
- No
- License
- OPC3141 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Eye and Vision Services Providers
Eye and Vision Services Providers
Eye and Vision Services Providers
Allopathic & Osteopathic Physicians
Practice location
100 John Roemmelt Dr Ste 302
Horseheads, NY 14845-8304
Phone: (607) 873-1810
Fax: (607) 562-3157
Approximate (ZIP-level) locationGet directions
Mailing address
571 Saint Josephs Blvd Fl 2
Elmira, NY 14901-3230
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2022-04-11
- Certified
- 2022-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.