# IMAC NP IN FAMILY HEALTH PLLC

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

## Provider details

- **NPI number:** 1831058049
- **Authorized official:** MR. IFTIKHAR CHEEMA PMHNP-BC (MANAGER MEMBER)
- **Authorized official phone:** (646) 401-1115

## Contact information

- **Practice address:** 52 CORSA ST, DIX HILLS, NY 11746-6624
- **Practice address phone:** (646) 401-1115
- **Mailing address:** 10415 101ST AVE, OZONE PARK, NY 11416-2702
- **Mailing address phone:** (646) 401-1115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/22/2026
- **Last updated:** 01/24/2026
