Individual
DR. TALAT F ADDASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14243 BOOTH MEMORIAL AVE, FLUSHING, NY 11355-5343
(718) 539-7230
(718) 460-6869
Mailing address
5645 MAIN ST, W-LL300, FLUSHING, NY 11355-5045
(718) 539-7230
(718) 460-6869
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
139806
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79480
MEDICARE LEGACY NUMBER
NY
01
—
G400001906
MEDICARE PTAN
NY
Enumeration date
01/22/2007
Last updated
05/22/2024
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