43RD ST FAMILY PRACTICE PLLC NPI 1194830265

NPI Information

  • NPI: 1194830265
  • Provider Name: 43RD ST FAMILY PRACTICE PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4543 43RD ST
    SUNNYSIDE, NY
    ZIP 11104
  • Phone: (718) 392-2220

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NPI Details

43RD ST FAMILY PRACTICE PLLC is a family medicine in Sunnyside, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. 43RD ST FAMILY PRACTICE PLLC NPI is 1194830265. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4543 43RD ST
SUNNYSIDE, NY
ZIP 11104-609
Phone: (718) 392-2220

The provider's authorized official is Durga Maddineni .
The authorized official title is Md and has the following contact phone number (718) 392-2220.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 3/31/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine227095NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102462119MEDICAIDNEW YORK
207827MEDICARE PINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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