# FAR ROCKAWAY MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639434061
- **Authorized official:** JEAN-PIERRE BARAKAT MD (OWNER)
- **Authorized official phone:** (718) 327-7457

## Contact information

- **Practice address:** 712 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
- **Practice address phone:** (718) 327-7457
- **Practice address fax:** (718) 327-7539
- **Mailing address:** 712 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
- **Mailing address phone:** (718) 327-7457
- **Mailing address fax:** (718) 327-7539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 07/11/2012
- **Last updated:** 07/11/2012