# GOOD SHEPHERD PRIMARY CARE PC

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

## Provider details

- **NPI number:** 1649795394
- **Authorized official:** DR. HEBA A ZAHER MD (MD)
- **Authorized official phone:** (516) 895-5050

## Contact information

- **Practice address:** 1111 ROUTE 110, FARMINGDALE, NY 11735-4820
- **Practice address phone:** (516) 895-5050
- **Practice address fax:** (516) 895-5088
- **Mailing address:** 1111 ROUTE 110, FARMINGDALE, NY 11735-4820
- **Mailing address phone:** (516) 895-5050
- **Mailing address fax:** (516) 895-5088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 267443 | NY | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/03/2017
- **Last updated:** 02/14/2024
