Healthcare Provider Details
I. General information
NPI: 1801472766
Provider Name (Legal Business Name): HEALTHFIRST MEDICAL ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/22/2021
Last Update Date: 03/22/2021
Certification Date: 03/22/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
798 ROUTE 9
FISHKILL NY
12524-1393
US
IV. Provider business mailing address
115 ROMAN WAY
NEWBURGH NY
12550-8647
US
V. Phone/Fax
- Phone: 917-288-6248
- Fax:
- Phone: 917-288-6248
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RN0300X |
| Taxonomy | Nephrology Physician |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: DR.
IBRAHIM
RAZA
PASHA
Title or Position: PRESIDENT
Credential: MD
Phone: 917-288-6248