# FAROQUI MEDICAL PC

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

## Provider details

- **NPI number:** 1831720945
- **Authorized official:** SHAZAD ZEB (BILLER / OFFICE MANAGER)
- **Authorized official phone:** (631) 307-9892

## Contact information

- **Practice address:** 450 WAVERLY AVE, BLDG 2 STE 1, PATCHOGUE, NY 11772
- **Practice address phone:** (631) 307-9892
- **Practice address fax:** (631) 569-5229
- **Mailing address:** 450 WAVERLY AVE, BLDG 2 STE 1, PATCHOGUE, NY 11772
- **Mailing address phone:** (631) 307-9892
- **Mailing address fax:** (631) 569-5229

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2020
- **Last updated:** 01/28/2020