Organization
9301 HEALTH MEDICAL CORNER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID SHAHKOOHI M.D. (OFFICER)
(718) 334-0001
Entity
Organization
Contact information
Practice address
9301 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
(718) 334-0001
(718) 334-0093
Mailing address
9301 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372-7943
(718) 334-0001
(718) 334-0093
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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