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Organization
PRIME CARE MEDICAL GROUP PC
Active
Organization
PRIME CARE MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFFAT ARA SADIQUE MD (OWNER)
(718) 739-7400
Entity
Organization
Contact information
Practice address
16806 HILLSIDE AVE, JAMAICA, NY 11432-4341
(718) 739-7400
(718) 739-7413
Mailing address
16806 HILLSIDE AVE, JAMAICA, NY 11432-4341
(718) 739-7400
(718) 739-7413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
230830
NY
207R00000X
Internal Medicine Physician
Primary
229868
NY
207RC0000X
Cardiovascular Disease Physician
242628
NY
207RC0000X
Cardiovascular Disease Physician
244121
NY
213E00000X
Podiatrist
N005475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02491972
—
NY
05
—
02585142
—
NY
05
—
02802188
—
NY
05
—
02888186
—
NY
Enumeration date
11/25/2007
Last updated
12/16/2025
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