institution
Jack Fatiha Md Pc
Health Service Clinic/Center in Brooklyn, New York
NPI 1770596975

Jack Fatiha Md Pc is a Health Service Clinic/Center based in Brooklyn, NY and is specialized in Health Service. Jack Fatiha Md Pc practices in Brooklyn, NY. The NPI Number for Jack Fatiha Md Pc is 1770596975 and holds a License No. 229099 (New York).

The current practice location address for Jack Fatiha Md Pc is 709 Avenue U, Brooklyn, NY and can be reached out via phone at 718-336-0100 and via fax at 718-336-7139.

Location: 709 Avenue U, Brooklyn, NY, 11223-4133
institution
Provider Profile Details
NPI Number
1770596975
Provider Name
Jack Fatiha Md Pc
Credential
Provider Entity Type
Organization
Address
709 Avenue U, Brooklyn, NY, 11223-4133
Phone Number
718-336-0100
Fax Number
718-336-7139
Provider Enumeration Date
08/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619969177 01 NY INDIVIDUAL NPI #
institution
Provider Business Practice Location Address Details
Address
709 Avenue U
City
State
Zip
11223-4133
Phone Number
718-336-0100
Fax Number
718-336-7139
person
Provider Business Mailing Address Details
Address
709 Avenue U
City
State
Zip
11223-4133
Phone Number
718-336-0100
Fax Number
718-336-7139
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
229099 (New York)
Definition
Definition to come...
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