Faroqui, Fazal G
Faroqui, Fazal G is an individual health care provider with primary practice located at 1 E Roe Blvd , Patchogue NY 11772-2631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Faroqui, Fazal G can be contacted via phone (631) 475-3900.Contact Information
Primary practice address
1 E Roe Blvd
Patchogue NY 11772-2631
Phone: (631) 475-3900
Fax: (631) 475-5606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 239825 | New York |
Profile Details
| NPI number | 1154351823 |
|---|---|
| LBN Legal business name | Faroqui, Fazal G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 20th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154351823 | NPPES |
| New York | MEDICAID | 02772190 | |
| New York | Other | 245B1 |
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