Organization
FAIRVIEW FAMILY PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DILARA KHANDAKER MD (OWNER)
(518) 828-4062
Entity
Organization
Contact information
Practice address
267 FAIRVIEW AVE, HUDSON, NY 12534-1210
(518) 828-4062
Mailing address
267 FAIRVIEW AVE, HUDSON, NY 12534-1210
(518) 828-4062
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01431218
—
NY
Enumeration date
04/10/2007
Last updated
08/22/2020
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