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NPI Code Detail

MEDICARE: SALIL P MARFATIA MD PC

MEDICARE: SALIL P MARFATIA MD 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
1207RG0100XGastroenterology Physician185108NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22503394OTHERNYGHI
3006AS1OTHERNYBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1629066949
Entity Type Code : Organization
Provider Name (Legal Business Name) : SALIL P MARFATIA MD PC
Provider Business Mailing Address
First Line : 8625 EDGERTON BLVD
Second Line :
City : JAMAICA
State : NY
Zip : 11432-2936
Country : US
Telephone Number : 718-298-6575
Fax Number : 718-657-1224
Provider Business Practice Location Address
First Line : 9229 QUEENS BLVD
Second Line : SUITE 1-A
City : REGO PARK
State : NY
Zip : 11374-1056
Country : US
Telephone Number : 718-897-5700
Fax Number : 718-897-2087
Authorized Official
Title or Position : OWNER
Name : SALIL P MARFATIA
Credential : MD
Telephone Number : 718-897-5700
Provider Enumeration Date : 10/11/2005
Last Update Date : 11/30/2022

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Directions to “SALIL P MARFATIA MD PC ” Practice Location

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