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
Fax: (631) 475-5606
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154351823 NPPES
New York MEDICAID 02772190
New York Other 245B1

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