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General NPI Number Information
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NPI Number | 1831058049
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Entity Type | Organization
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Legal Business Name | IMAC NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 52 CORSA ST
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City | DIX HILLS
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State | NY
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Zip | 11746-6624
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Country | US
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Telephone | 646-401-1115
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Fax |
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Provider Business Mailing Address
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Address Line | 10415 101ST AVE
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City | OZONE PARK
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State | NY
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Zip | 11416-2702
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Country | US
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Telephone | 646-401-1115
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Fax |
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Authorized Official
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Title or Position | MANAGER MEMBER
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Name | MR. IFTIKHAR CHEEMA
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Credential | PMHNP-BC
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Telephone | 646-401-1115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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