Provider Demographics
NPI:1609991694
Name:DR YUSUF'S GETWELL PEDIATRICS OF NEW YORK, PLLC
Entity Type:Organization
Organization Name:DR YUSUF'S GETWELL PEDIATRICS OF NEW YORK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAZLUL
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-255-2333
Mailing Address - Street 1:5707 146TH ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-5322
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5707 146TH ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5322
Practice Address - Country:US
Practice Address - Phone:718-461-8625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1918062080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY041018000054OtherFIDELIS (FLUSHING)
NYQN0023504OtherAMERICHOICE
NY133813294YU02OtherCARE PLUS (WOODSIDE)
NYDP537OtherOXFORD
NY1000026774OtherAFFINITY
NY100116075802OtherUHC (HMO)
NY100477OtherGHI HMO
NY191806OtherMETROPLUS
NY26P3231OtherNY PRESBYTERIAN
NC26P3233OtherNY PRESBYTERIAN -WOODSIDE
NY3430579OtherAETNA (HEMATOLOGY)
NY536Z11OtherEMPIRE BCBS (FLUSHING)
NY113381329YU01OtherCARE PLUS
NY26N8431OtherNEIGHBORHOOD
NY536Z12OtherEMPIRE BCBS (WOODSIDE)
NY543894OtherAETNA (HMO)
NY041018000056OtherFIDELIS (WOODSIDE)
NY2695502OtherGHI
NY7399614OtherCIGNA