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NPI Code Detail

MEDICARE: FINECARE MEDICAL MANAGEMENT, INC

MEDICARE: FINECARE MEDICAL MANAGEMENT, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1291U00000XClinical Medical Laboratory7977NY

General Provider Information

NPI Number : 1043439680
Entity Type Code : Organization
Provider Name (Legal Business Name) : FINECARE MEDICAL MANAGEMENT, INC
Provider Business Mailing Address
First Line : 5907 71ST AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5655
Country : US
Telephone Number : 718-628-9800
Fax Number : 718-628-1810
Provider Business Practice Location Address
First Line : 5907 71ST AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5655
Country : US
Telephone Number : 718-628-9800
Fax Number : 718-628-1810
Authorized Official
Title or Position : PRES
Name : MR. IRFAN S CHAUDHRY
Credential :
Telephone Number : 718-628-9800
Provider Enumeration Date : 04/24/2007
Last Update Date : 08/26/2008

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Directions to “FINECARE MEDICAL MANAGEMENT, INC ” Practice Location

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