Organization
ABBYDEK FAMILY MEDICAL PRACTICE PC
Active
Other names
EMMANUEL O FASHAKIN MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL OLUSEGUN FASHAKIN MD (PRESIDENT)
(718) 591-1600
Entity
Organization
Contact information
Practice address
10520 JAMAICA AVE FL 1, RICHMOND HILL, NY 11418-2013
(718) 849-0702
(718) 591-0265
Mailing address
10520 JAMAICA AVE APT 1, RICHMOND HILL, NY 11418-2013
(718) 591-1600
(718) 591-0265
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
202847
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01652235
—
NY
01
—
202847
LICENSE
NY
01
—
339296
LICENSE
NY
Enumeration date
10/11/2011
Last updated
02/17/2026
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