Organization
LINCOLN FERGUSON MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINCOLN J FERGUSON MD (MEDICAL DOCTOR)
(718) 949-1230
Entity
Organization
Contact information
Practice address
176 24A 126TH AVE, JAMAICA, NY 11434
(718) 949-1230
(718) 949-2035
Mailing address
176 24A 126TH AVE, JAMAICA, NY 11434
(718) 949-1230
(718) 949-2035
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
219794
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5B8051
—
NY
Enumeration date
08/15/2006
Last updated
08/22/2020
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