Individual
DR. ESRA FAKIOGLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
18904 UNION TPKE FL 1, FRESH MEADOWS, NY 11366-1862
(347) 230-2454
(646) 580-0908
Mailing address
18904 UNION TPKE FL 1, FRESH MEADOWS, NY 11366-1862
(347) 230-2454
(646) 580-0908
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
266365
NY
2080B0002X
Pediatric Obesity Medicine Physician
266365
NY
2080P0208X
Pediatric Infectious Diseases Physician
266365
NY
Other
Enumeration date
09/26/2007
Last updated
08/15/2024
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