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FAIR MEDICAL CARE PC NPI 1871768523


NPI Information

NPI: 1871768523
Provider Name: FAIR MEDICAL CARE PC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 33D1053796

Address:
104-06 SUTTER AVENUE
OZONE PARK
QUEENS, NY
ZIP 11417
Phone: (718) 322-7429
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FAIR MEDICAL CARE PC is a pediatrics in Queens, NY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. FAIR MEDICAL CARE PC NPI is 1871768523. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

104-06 SUTTER AVENUE
OZONE PARK
QUEENS, NY
ZIP 11417
Phone: (718) 322-7429
Fax: (718) 322-7518

The provider's authorized official is Rehana Iqbal Khan .
The authorized official title is President and has the following contact phone number (718) 322-7429.

The CLIA number assigned to this NPI record is 33D1053796 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2008 and was last updated on 4/24/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine2348561NEW YORKNo
2208000000XPediatrics215951NEW YORKYes

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: 11/14/2023

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