# 9301 HEALTH MEDICAL CORNER PC

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

## Provider details

- **NPI number:** 1891313151
- **Authorized official:** DR. FARID SHAHKOOHI M.D. (OFFICER)
- **Authorized official phone:** (718) 334-0001

## Contact information

- **Practice address:** 9301 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
- **Practice address phone:** (718) 334-0001
- **Practice address fax:** (718) 334-0093
- **Mailing address:** 9301 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
- **Mailing address phone:** (718) 334-0001
- **Mailing address fax:** (718) 334-0093

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2020
- **Last updated:** 07/13/2020