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Organization
REMEDIAL PRIMARY MEDICAL CARE, PC
Active
Organization
REMEDIAL PRIMARY MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARAH FATIMA DO (SOLE PROPRIETOR)
(516) 317-8337
Entity
Organization
Contact information
Practice address
252 W OLD COUNTRY RD, HICKSVILLE, NY 11801-4011
(516) 317-8337
(631) 675-9301
Mailing address
61 WILLETS DR, SYOSSET, NY 11791-3915
(516) 317-8337
(631) 675-9301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
260263
NY
Other
Enumeration date
12/10/2012
Last updated
12/31/2012
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