Provider Demographics
NPI:1518587971
Name:COMMUNITY FIRST MEDICAL PC
Entity Type:Organization
Organization Name:COMMUNITY FIRST MEDICAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEEAM
Authorized Official - Middle Name:NUR
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-457-8127
Mailing Address - Street 1:62 NORMAN LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-1708
Mailing Address - Country:US
Mailing Address - Phone:646-457-8127
Mailing Address - Fax:718-888-9514
Practice Address - Street 1:62 NORMAN LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-1708
Practice Address - Country:US
Practice Address - Phone:347-951-0570
Practice Address - Fax:718-888-9514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-25
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty