# FARZANA MATIN, M.D., P.C.

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

## Provider details

- **NPI number:** 1699280453
- **Authorized official:** FARZANA MATIN MD (DIRECTOR/CEO)
- **Authorized official phone:** (917) 405-1517

## Contact information

- **Practice address:** 4024 76TH ST STE 1AB, ELMHURST, NY 11373-1009
- **Practice address phone:** (718) 844-6302
- **Mailing address:** 15 HILTON AVE, GARDEN CITY, NY 11530-4400
- **Mailing address phone:** (917) 405-1517

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 258280 | NY | Yes |

## Other

- **Enumeration date:** 12/01/2017
- **Last updated:** 09/30/2023