| Faroqui Medical PC | |
|
450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 | |
| (631) 307-9892 | |
| (631) 569-5229 |
| Full Name | Faroqui Medical PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 450 Waverly Ave, Patchogue, New York |
| Authorized Official Name and Position | Shazad Zeb (BILLER / OFFICE MANAGER) |
| Authorized Official Contact | 6313079892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Faroqui Medical PC 450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 Ph: (631) 307-9892 | Faroqui Medical PC 450 Waverly Ave Bldg 2 Ste 1 Patchogue NY 11772 Ph: (631) 307-9892 |
| NPI Number | 1831720945 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Certification Date | 01/28/2020 |
| Medicare PECOS PAC ID | 0345669149 |
|---|---|
| Medicare Enrollment ID | O20200929000050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831720945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Michael a Matilsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558338152 PECOS PAC ID: 1658347166 Enrollment ID: I20040907000769 |
| Provider Name | Fazal G Faroqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154351823 PECOS PAC ID: 0840295408 Enrollment ID: I20061003000659 |
| Provider Name | Fahim Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093785297 PECOS PAC ID: 4082880521 Enrollment ID: I20120104000360 |
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