Organization
FARIS AL-GEBORY MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LETY COTTO (MANAGER)
(718) 416-4389
Entity
Organization
Contact information
Practice address
70-31A 108TH STREET, SUITE 4, FOREST HILLS, NY 11375
(646) 812-6044
(718) 416-3652
Mailing address
209-10 RICHLAND AVENUE, HOLLIS HILLS, NY 11364
(646) 812-6044
(718) 416-3652
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
243497
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
243497
LICENSE
NY
Enumeration date
10/16/2008
Last updated
04/21/2009
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