Provider Demographics
NPI:1093127532
Name:HILLSIDE MEDICAL CARE NYC PC
Entity Type:Organization
Organization Name:HILLSIDE MEDICAL CARE NYC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERNIST
Authorized Official - Prefix:DR
Authorized Official - First Name:FARZANA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIZAMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-657-7900
Mailing Address - Street 1:87 46 CHELSEA ST.
Mailing Address - Street 2:SUITE LC
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-657-7900
Mailing Address - Fax:718-657-7902
Practice Address - Street 1:87 46 CHELSEA ST.
Practice Address - Street 2:SUITE LC
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-657-7900
Practice Address - Fax:718-657-7902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty