Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

October Medical PC

Organization Family Medicine Physician · NPI 1639868763

October Medical PC provides Family Medicine Physician services in Jackson Heights, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3704 91st St Ste D
Jackson Heights, NY 11372-7909
Phone: (929) 401-4936
Fax: (516) 534-4666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639868763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonia Walker-Adamson — Do · (516) 404-6550
NPI enumeratedMay 4, 2023
Last updated in NPPESJanuary 11, 2024
Certification dateOctober 20, 2023
Mailing address3704 91st St Ste D, Jackson Heights, NY 11372-7909

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