139 Medical Facility P C
139 Medical Facility P C provides Internal Medicine Physician services in New York, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
3418 BroadwayNew York, NY 10031-7419 Not confirmed with CMS for 17 years — call before visiting
Phone: (212) 283-2099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X · Licence 238067 (NY) |
|---|---|
| Pediatrics Physician | Taxonomy 208000000X · Licence 122027 (NY) |
Record details
| NPI number | 1235301631 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Muhammad Haque — Doctor · (212) 283-2099 |
| NPI enumerated | March 26, 2008 |
| Last updated in NPPES | August 4, 2009 |
| Mailing address | 3418 Broadway, New York, NY 10031-7419 |
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