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NPI Code Detail

MEDICARE: DR. EVIS BAFTJARI D.O

MEDICARE: DR. EVIS BAFTJARI D.O
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
1207Q00000XFamily Medicine Physician274134NY

General Provider Information

NPI Number : 1659798825
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EVIS BAFTJARI D.O
Provider Business Mailing Address
First Line : 571 LAURELTON BLVD
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-1837
Country : US
Telephone Number : 646-439-3994
Fax Number : 646-439-3900
Provider Business Practice Location Address
First Line : 571 LAURELTON BLVD
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-1837
Country : US
Telephone Number : 646-251-8633
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2014
Last Update Date : 10/15/2024

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