Organization
JACK FATIHA MD PC
Active
Other names
1st Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK FATIHA M.D. (OWNER)
(718) 336-0100
Entity
Organization
Contact information
Practice address
709 AVENUE U, BROOKLYN, NY 11223-4133
(718) 336-0100
(718) 336-7139
Mailing address
709 AVENUE U, BROOKLYN, NY 11223-4133
(718) 336-0100
(718) 336-7139
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
229099
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619969177
INDIVIDUAL NPI #
NY
Enumeration date
08/15/2006
Last updated
01/14/2013
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