Provider Demographics
NPI:1689827214
Name:FAKHOURI MEDICAL HEALTH OFFICE P.C.
Entity Type:Organization
Organization Name:FAKHOURI MEDICAL HEALTH OFFICE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEIAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FAKHOURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-223-3333
Mailing Address - Street 1:1531 ROUTE 82
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-3304
Mailing Address - Country:US
Mailing Address - Phone:845-223-3333
Mailing Address - Fax:845-223-8248
Practice Address - Street 1:1531 ROUTE 82
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-3304
Practice Address - Country:US
Practice Address - Phone:845-223-3333
Practice Address - Fax:845-223-8248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Single Specialty