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NPI Code Detail

MEDICARE: FERNANDO BAJIT M.D.

MEDICARE:   FERNANDO  BAJIT  M.D.
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
1208D00000XGeneral Practice Physician111138NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1356349542
Entity Type Code : Individual
Provider Name (Legal Business Name) : FERNANDO BAJIT M.D.
Provider Business Mailing Address
First Line : 19639 45TH DR
Second Line :
City : FLUSHING
State : NY
Zip : 11358-3509
Country : US
Telephone Number : 718-423-5430
Fax Number : 718-423-1272
Provider Business Practice Location Address
First Line : 529 MARCY AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11206-5606
Country : US
Telephone Number : 718-384-6120
Fax Number : 718-384-0273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2005
Last Update Date : 07/08/2007

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Directions to “ FERNANDO BAJIT M.D.” Practice Location

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