| Fair Medical Care Pc | |
|
104-06 Sutter Avenue Ozone Park Queens NY 11417 | |
| (718) 322-7429 | |
| (718) 322-7518 |
| Full Name | Fair Medical Care Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 104-06 Sutter Avenue, Queens, New York |
| Authorized Official Name and Position | Rehana Iqbal Khan (PRESIDENT) |
| Authorized Official Contact | 7183227429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fair Medical Care Pc 104-06 Sutter Avenue Ozone Park Queens NY 11417 Ph: (718) 322-7429 | Fair Medical Care Pc 104-06 Sutter Avenue Ozone Park Queens NY 11417 Ph: (718) 322-7429 |
| NPI Number | 1871768523 |
|---|---|
| Provider Enumeration Date | 04/24/2008 |
| Last Update Date | 04/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871768523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2348561 (New York) | Secondary |
| 208000000X | Pediatrics | 215951 (New York) | Primary |
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