MEDICARE: PREFERRED HEALTH MEDICAL CARE PC

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
1	207R00000X	Internal Medicine Physician	204917	NY

General Provider Information

NPI Number	:	1043499817
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HEALTH MEDICAL CARE PC

Provider Business Mailing Address
First Line	:	PO BOX 234809
Second Line	:
City	:	GREAT NECK
State	:	NY
Zip	:	11023-4809
Country	:	US
Telephone Number	:	718-736-1450
Fax Number	:

Provider Business Practice Location Address
First Line	:	6902 AUSTIN ST FL 3
Second Line	:
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-4233
Country	:	US
Telephone Number	:	718-263-1450
Fax Number	:	718-263-1454

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	FARZIN SEHATI
Credential	:	D.O.
Telephone Number	:	718-736-1450

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	01/31/2019

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