Organization
FOR-MED MEDICAL
Active
Other names
ASTORIA MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
FOUAD LAJAM M.D. (OWNER)
(718) 274-2600
Entity
Organization
Contact information
Practice address
2535 31ST AVE, LONG ISLAND CITY, NY 11106-3607
(718) 274-2600
(718) 274-5337
Mailing address
2535 31ST AVE, LONG ISLAND CITY, NY 11106-3607
(718) 274-2600
(718) 274-5337
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00672642
—
NY
Enumeration date
08/21/2006
Last updated
08/22/2020
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