9301 Health Medical Corner PC

Organization Active NPI Internal Medicine Physician · Jackson Heights, NY

NPI 1891313151 · NPPES record last updated Jul 13, 2020

Key facts

NPI
1891313151
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
9301 HEALTH MEDICAL CORNER PC
Practice address
9301 Roosevelt Ave
Jackson Heights, NY 11372-7943
Phone
(718) 334-0001
Fax
(718) 334-0093
NPI assigned
Jul 13, 2020
Organization subpart
No

Authorized official

Name
Dr. Farid Shahkoohi, M.D.
Title
Officer
Phone
(718) 334-0001

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

9301 Roosevelt Ave
Jackson Heights, NY 11372
Phone (212) 777-8566

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

9301 Roosevelt Ave
Jackson Heights, NY 11372-7943

Mailing address

9301 Roosevelt Ave
Jackson Heights, NY 11372-7943
Phone (718) 334-0001

Other providers in Jackson Heights, NY

All providers in Jackson Heights, NY · Internal Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.