| Jackson Heights Med Off | |
|
3758 72 Street Jackson Heights NY 11372 | |
| (718) 426-1000 | |
| (718) 426-1100 |
| Full Name | Jackson Heights Med Off |
|---|---|
| Speciality | Internal Medicine |
| Location | 3758 72 Street, Jackson Heights, New York |
| Authorized Official Name and Position | Nuzhat Faridi (MD) |
| Authorized Official Contact | 7184261000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackson Heights Med Off 671 College Road Farmingville NY 11738 Ph: (718) 426-1000 | Jackson Heights Med Off 3758 72 Street Jackson Heights NY 11372 Ph: (718) 426-1000 |
| NPI Number | 1467593889 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 12/27/2022 |
| Medicare PECOS PAC ID | 9830287028 |
|---|---|
| Medicare Enrollment ID | O20071126000195 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467593889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 197647 (New York) | Primary |
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 197647 (New York) | Secondary |
| Provider Name | Nuzhat Faridi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992876346 PECOS PAC ID: 3779671870 Enrollment ID: I20071126000355 |
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