Organization
ALPHA-K FAMILY MEDICAL PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL O FASHAKIN M.D. (PRESIDENT)
(718) 591-1600
Entity
Organization
Contact information
Practice address
7935 153RD ST, FLUSHING, NY 11367-3937
(718) 591-1600
(718) 591-0265
Mailing address
7935 153RD ST, FLUSHING, NY 11367-3937
(718) 591-1600
(718) 591-0265
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
202847
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01652235
—
NY
Enumeration date
06/30/2005
Last updated
08/06/2008
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