Organization
JACK FATIHA MD PC
Active
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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