Organization · NPI-2

Fatima Pediatric Medical Care PC

Legal Medicine · Astoria, NY

NPI number1295896744
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1295896744
Entity type
Organization (NPI-2)
Legal business name
Fatima Pediatric Medical Care PC
Organization subpart
No
Enumeration date
Dec 12, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
173000000X Legal Medicine200364NYYes

Practice location

2552 Steinway St
Astoria, NY 11103-3759

Phone 718-777-6695

Mailing address

2552 Steinway St
Astoria, NY 11103-3759

Phone 718-777-6695

Authorized official

Mohyuddin M Qureshi
Sole Proprietor
7187776695

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