Individual
FERID OSMANOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2715 30TH AVE, ASTORIA, NY 11102-2445
(718) 932-0007
Mailing address
2510 30TH AVE, ASTORIA, NY 11102-2448
(718) 879-1651
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
250686-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02964932
—
NY
Enumeration date
03/13/2008
Last updated
03/10/2021
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