| Family Practice Center, Corp. | |
|
504 51st St West New York NJ 07093-5503 | |
| (201) 863-8342 | |
| (201) 863-8415 |
| Full Name | Family Practice Center, Corp. |
|---|---|
| Speciality | Family Medicine |
| Location | 504 51st St, West New York, New Jersey |
| Authorized Official Name and Position | Fermin J Leon (OWNER) |
| Authorized Official Contact | 2018638342 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Center, Corp. 504 51st St West New York NJ 07093-5503 Ph: (201) 863-8342 | Family Practice Center, Corp. 504 51st St West New York NJ 07093-5503 Ph: (201) 863-8342 |
| NPI Number | 1497069314 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497069314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MA03535900 (New Jersey) | Primary |
| 208D00000X | General Practice | 25MA03535900 (New Jersey) | Secondary |
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