| Alpha-k Family Medical Practice P.c. | |
|
7935 153rd St Flushing NY 11367-3937 | |
| (718) 591-1600 | |
| (718) 591-0265 |
| Full Name | Alpha-k Family Medical Practice P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 7935 153rd St, Flushing, New York |
| Authorized Official Name and Position | Emmanuel O Fashakin (PRESIDENT) |
| Authorized Official Contact | 7185911600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha-k Family Medical Practice P.c. 7935 153rd St Flushing NY 11367-3937 Ph: (718) 591-1600 | Alpha-k Family Medical Practice P.c. 7935 153rd St Flushing NY 11367-3937 Ph: (718) 591-1600 |
| NPI Number | 1659378172 |
|---|---|
| Provider Enumeration Date | 06/30/2005 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659378172 | NPI | - | NPPES |
| 01652235 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 202847 (New York) | Primary |
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