Organization
FARZANA MATIN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARZANA MATIN MD (DIRECTOR/CEO)
(917) 405-1517
Entity
Organization
Contact information
Practice address
4024 76TH ST STE 1AB, ELMHURST, NY 11373-1009
(718) 844-6302
Mailing address
15 HILTON AVE, GARDEN CITY, NY 11530-4400
(917) 405-1517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
258280
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03387726
—
NY
Enumeration date
12/01/2017
Last updated
09/30/2023
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