Healthcare Provider Details

I. General information

NPI: 1710121447
Provider Name (Legal Business Name): HARGHEL MEDICAL OFFICE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2009
Last Update Date: 08/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22041 UNION TPKE
OAKLAND GARDENS NY
11364-3542
US

IV. Provider business mailing address

220-41 UNION TPKE
OAKLAND GARDENS NY
11364-3542
US

V. Phone/Fax

Practice location:
  • Phone: 718-465-6444
  • Fax: 718-465-6005
Mailing address:
  • Phone: 718-465-6444
  • Fax: 718-278-6501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number221919
License Number StateNY

VIII. Authorized Official

Name: DR. CRISTIAN HARGHEL
Title or Position: MEDICAL DOCTOR
Credential: MD
Phone: 718-465-6444