| Farzana Matin, M.d., P.c. | |
|
4024 76th St Ste 1ab Elmhurst NY 11373-1009 | |
| (718) 844-6302 | |
| Not Available |
| Full Name | Farzana Matin, M.d., P.c. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4024 76th St Ste 1ab, Elmhurst, New York |
| Authorized Official Name and Position | Farzana Matin (DIRECTOR/CEO) |
| Authorized Official Contact | 9174051517 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farzana Matin, M.d., P.c. 15 Hilton Ave Garden City NY 11530-4400 Ph: (917) 405-1517 | Farzana Matin, M.d., P.c. 4024 76th St Ste 1ab Elmhurst NY 11373-1009 Ph: (718) 844-6302 |
| NPI Number | 1699280453 |
|---|---|
| Provider Enumeration Date | 12/01/2017 |
| Last Update Date | 09/30/2023 |
| Medicare PECOS PAC ID | 6709147952 |
|---|---|
| Medicare Enrollment ID | O20180302001390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699280453 | NPI | - | NPPES |
| 03387726 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 258280 (New York) | Primary |
| Provider Name | Farzana Matin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1295979698 PECOS PAC ID: 1658544408 Enrollment ID: I20111024000400 |
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