MEDICARE: FERID OSMANOVIC MD

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	250686-1	NY

Other Identifiers

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

General Provider Information

NPI Number	:	1992976385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERID OSMANOVIC MD

Provider Business Mailing Address
First Line	:	2510 30TH AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-2448
Country	:	US
Telephone Number	:	718-879-1651
Fax Number	:

Provider Business Practice Location Address
First Line	:	2715 30TH AVE
Second Line	:
City	:	ASTORIA
State	:	NY
Zip	:	11102-2445
Country	:	US
Telephone Number	:	718-932-0007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2008
Last Update Date	:	03/10/2021

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