Organization
FAR ROCKAWAY MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN-PIERRE BARAKAT MD (OWNER)
(718) 327-7457
Entity
Organization
Contact information
Practice address
712 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7457
(718) 327-7539
Mailing address
712 BEACH 20TH ST, FAR ROCKAWAY, NY 11691-3502
(718) 327-7457
(718) 327-7539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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