MEDICARE: COMMUNITY FIRST MEDICAL PLLC

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	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1588282131
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY FIRST MEDICAL PLLC

Provider Business Mailing Address
First Line	:	62 NORMAN LN
Second Line	:
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-1708
Country	:	US
Telephone Number	:	917-720-3477
Fax Number	:	929-575-4075

Provider Business Practice Location Address
First Line	:	7415 37TH AVE
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6339
Country	:	US
Telephone Number	:	929-575-5656
Fax Number	:	929-575-4075

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	SEEAM NUR HAQUE
Credential	:	MD
Telephone Number	:	917-720-3477

Provider Enumeration Date	:	07/10/2020
Last Update Date	:	09/15/2023

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