Organization
CENTEREACH MEDICAL OFFICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NUZHAT FARIDI M.D. (PRESIDENT)
(631) 398-4310
Entity
Organization
Contact information
Practice address
18 EASTWOOD BLVD, CENTEREACH, NY 11720-2735
(631) 467-3600
(718) 426-1100
Mailing address
671 COLLEGE RD, FARMINGVILLE, NY 11738-1358
(631) 398-4310
(718) 426-1100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
197647
NY
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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