| Sinai Hadassah Medical Associate Pllc | |
|
6902 Austin St Forest Hills NY 11375-4233 | |
| (212) 961-7462 | |
| Not Available |
| Full Name | Sinai Hadassah Medical Associate Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 6902 Austin St, Forest Hills, New York |
| Authorized Official Name and Position | Farzad Avraham Haghighi (PRESIDENT) |
| Authorized Official Contact | 2129617362 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sinai Hadassah Medical Associate Pllc 8904 63rd Dr Rego Park NY 11374-3858 Ph: (212) 961-7462 | Sinai Hadassah Medical Associate Pllc 6902 Austin St Forest Hills NY 11375-4233 Ph: (212) 961-7462 |
| NPI Number | 1508165317 |
|---|---|
| Provider Enumeration Date | 03/18/2011 |
| Last Update Date | 01/17/2017 |
| Medicare PECOS PAC ID | 0143406314 |
|---|---|
| Medicare Enrollment ID | O20110524000480 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508165317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 251936 (New York) | Secondary |
| 207R00000X | Internal Medicine | A107845 (California) | Secondary |
| 208M00000X | Hospitalist | 251936 (New York) | Primary |
| Provider Name | Farzad Haghighi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518106764 PECOS PAC ID: 3577610070 Enrollment ID: I20090428000216 |
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