Organization
FATIMA PEDIATRIC MEDICAL CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHYUDDIN M QURESHI (SOLE PROPRIETOR)
(718) 777-6695
Entity
Organization
Contact information
Practice address
2552 STEINWAY ST, ASTORIA, NY 11103-3759
(718) 777-6695
Mailing address
2552 STEINWAY ST, ASTORIA, NY 11103-3759
(718) 777-6695
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
200364
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01583311
—
NY
Enumeration date
12/12/2006
Last updated
08/22/2020
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