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Organization

EMPIRE MEDICAL PRACTICE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAHIMEH SASAN DO (OWNER OF PC)
(917) 420-3861
Entity
Organization

Contact information

Practice address
693 5TH AVE FL 7, NEW YORK, NY 10022-3123
(855) 563-2639
Mailing address
1140 BROADWAY FL 11, NEW YORK, NY 10001-7504

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary

Other

Enumeration date
09/14/2018
Last updated
09/14/2018
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