Provider Demographics
NPI:1396081113
Name:CHILDREN'S MEDICAL SERVICES, P.C.
Entity type:Organization
Organization Name:CHILDREN'S MEDICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FAIZ
Authorized Official - Middle Name:O
Authorized Official - Last Name:ALZOOBAEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-833-7466
Mailing Address - Street 1:6805 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11220-6009
Mailing Address - Country:US
Mailing Address - Phone:718-833-7466
Mailing Address - Fax:718-745-7442
Practice Address - Street 1:6805 5TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-6009
Practice Address - Country:US
Practice Address - Phone:718-833-7466
Practice Address - Fax:718-745-7442
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHILDREN'S MEDICAL SERVICES, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-12-26
Last Update Date:2012-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223071-1261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care