Jack Fatiha is a Family Medicine in Brooklyn, New York. Jack Fatiha practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jack Fatiha is 1619969177. The last update date is 2008-04-11.
Jack Fatiha's current location address is 709 Avenue U, Brooklyn, New York. You can contact this provider via phone number 7183360100 and fax number 7183367139. The mailing address for Jack Fatiha is 709 Avenue U, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Fatiha |
|---|---|
| Address | 709 Avenue U, Brooklyn, New York |
| Phone Number | 7183360100 |
| Fax Number | 7183367139 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619969177 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 709 Avenue U |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 112234133 |
| Phone Number | 7183360100 |
| Fax Number | 7183367139 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 229099 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2495889 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jack Fatiha by the Centers for Medicare & Medicaid Services?
The Jack Fatiha has been issued the NPI (National Provider Identifier) 1619969177 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jack Fatiha's facilities are situated?
The facilities of Jack Fatiha are physically located at the following address: 709 Avenue U, Brooklyn, NY, 112234133.
What is Jack Fatiha's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Fatiha's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619969177 to Jack Fatiha?
The Centers for Medicare & Medicaid Services assigned the 1619969177 to Jack Fatiha on 2005-08-19.
When was the information regarding Jack Fatiha, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jack Fatiha, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-04-11.