| Fairview Family Practice, P.c. | |
|
267 Fairview Ave Hudson NY 12534-1210 | |
| (518) 828-4062 | |
| Not Available |
| Full Name | Fairview Family Practice, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 267 Fairview Ave, Hudson, New York |
| Authorized Official Name and Position | Dilara Khandaker (OWNER) |
| Authorized Official Contact | 5188284062 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairview Family Practice, P.c. 267 Fairview Ave Hudson NY 12534-1210 Ph: (518) 828-4062 | Fairview Family Practice, P.c. 267 Fairview Ave Hudson NY 12534-1210 Ph: (518) 828-4062 |
| NPI Number | 1124241351 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124241351 | NPI | - | NPPES |
| 01431218 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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