Provider Demographics
NPI:1164682274
Name:SKENDER MURTEZANI, MD
Entity Type:Organization
Organization Name:SKENDER MURTEZANI, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SKENDER
Authorized Official - Middle Name:
Authorized Official - Last Name:MURTEZANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-461-3065
Mailing Address - Street 1:1434 110TH ST
Mailing Address - Street 2:4G
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11356-1446
Mailing Address - Country:US
Mailing Address - Phone:718-674-4646
Mailing Address - Fax:718-461-3590
Practice Address - Street 1:5516 MAIN ST
Practice Address - Street 2:BOTTOM FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5098
Practice Address - Country:US
Practice Address - Phone:718-461-3065
Practice Address - Fax:718-461-3590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY236980207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty