| Good Shepherd Primary Care Pc | |
|
1111 Route 110 Farmingdale NY 11735-4820 | |
| (516) 895-5050 | |
| (516) 895-5088 |
| Full Name | Good Shepherd Primary Care Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Route 110, Farmingdale, New York |
| Authorized Official Name and Position | Heba A Zaher (MD) |
| Authorized Official Contact | 5168955050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Shepherd Primary Care Pc 1111 Route 110 Farmingdale NY 11735-4820 Ph: (516) 895-5050 | Good Shepherd Primary Care Pc 1111 Route 110 Farmingdale NY 11735-4820 Ph: (516) 895-5050 |
| NPI Number | 1649795394 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 02/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649795394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 267443 (New York) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
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