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Lincoln Ferguson MD,pc

Pediatrics in Jamaica, NY. Organization (NPI-2).

NPI number1285647412
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1285647412
Entity type
Organization (NPI-2)
Legal business name
Lincoln Ferguson MD,pc
Organization subpart
No
Enumeration date
Aug 15, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics219794NYYes

Practice location

176 24a 126th Ave
Jamaica, NY 11434

Phone 718-949-1230 · Fax 718-949-2035

Mailing address

176 24a 126th Ave
Jamaica, NY 11434

Phone 718-949-1230 · Fax 718-949-2035

Authorized official

Lincoln J Ferguson
Medical Doctor
7189491230

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