Organization
FA SURGICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARUQUE AHMED D.O (DO)
(929) 777-0680
Entity
Organization
Contact information
Practice address
3728 77TH ST, JACKSON HEIGHTS, NY 11372-6630
(929) 777-0680
(516) 706-6026
Mailing address
17520 WEXFORD TER APT 16T, JAMAICA, NY 11432-2838
(929) 777-0680
(516) 706-6026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
241611
NY
Other
Enumeration date
04/21/2014
Last updated
04/21/2014
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