| Fira Nihamin Physician Pc | |
|
3965 52nd St Woodside NY 11377-3254 | |
| (718) 429-0039 | |
| (718) 429-6965 |
| Full Name | Fira Nihamin Physician Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3965 52nd St, Woodside, New York |
| Authorized Official Name and Position | Fira Nihamin (PRESIDENT) |
| Authorized Official Contact | 7184290039 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fira Nihamin Physician Pc 3965 52nd St Woodside NY 11377-3254 Ph: (718) 429-0039 | Fira Nihamin Physician Pc 3965 52nd St Woodside NY 11377-3254 Ph: (718) 429-0039 |
| NPI Number | 1083920805 |
|---|---|
| Provider Enumeration Date | 08/31/2010 |
| Last Update Date | 08/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083920805 | NPI | - | NPPES |
| 00787884 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 152113 (New York) | Primary |
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