ABBYDEK FAMILY MEDICAL PRACTICE PC (NPI# 1447535323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447535323 |
| Entity Type | Organization |
| Organization Name | ABBYDEK FAMILY MEDICAL PRACTICE PC |
| Other Organization Name | EMMANUEL O FASHAKIN MD |
| Practice Address |
7935 153rd St Apt 1 Flushing NY 11367-3937 |
| Practice Telephone | 7185911600 |
| Practice Fax Number | 7185910265 |
| Mailing Telephone | 7185911600 |
| Mailing Fax Number | 7185910265 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2011-10-11 |
| Authorized Official Name | DR. EMMANUEL OLUSEGUN FASHAKIN (PRESIDENT) |
| Authorized Official Telephone | 7185911600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
202847 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01652235 | 05 | |
| NY | LICENSE | 202847 | 01 |
| Other Name | Type Code |
|---|---|
| EMMANUEL O FASHAKIN MD | Doing Business As Name - Organization |
| Street Address |
7935 153RD ST APT 1 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11367-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659378172 | Alpha-k Family Medical Practice P.C. | Family Medicine | 7935 153rd St, Flushing, NY 11367-3937 | 2005-06-30 |
| 1922154681 | Emmanuel Olusegun Fashakin | Family Medicine | 7935 153rd St, Flushing, NY 11367-3937 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821638008 | Scarlett Sea | Speech-Language Pathologist | 31-36 88th St, Jackson Heights, NY 11367 | 2020-01-15 |
| 1528612090 | Leora A Shimunov | Specialist | 147-32 70th Ave, Flushing, NY 11367 | 2019-08-01 |
| 1922651918 | Triborough Medical Pllc | Anesthesiology | 150-31 Union Tpke, Office of Daniel Khaimov, Md, Flushing, NY 11367 | 2019-07-19 |
| 1700343993 | Steven Bernard Markowitz | Preventive Medicine | Queens College - 65-30 Kissena Blvd, Commoner Center- Remsen 311, Queens, NY 11367 | 2019-02-25 |
| 1336617406 | Amira Awadallah | Pharmacist | 15315 79 Ave, Flushing, NY 11367 | 2018-11-07 |
| 1336624097 | Diana Yocheved Shalev | Pharmacist | 14905 79th Ave Apt 511, Flushing, NY 11367 | 2018-09-28 |
| 1417447731 | Yashuo Fazilova | Registered Nurse | 144-60 Gravett Road, Apt. 2c, Flushing, NY 11367 | 2018-05-11 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1164920500 | L & M Caring Services Inc | Occupational Therapist | 144-29 Melbourne Ave, Flushing, NY 11367 | 2018-01-31 |
| 1720597610 | Christine Simmons | Licensed Practical Nurse | 67-39 Kissena Blvd #1a, Flushing, NY 11367 | 2017-09-24 |
| Find all providers in zip 11367 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053808543 | D&j Medical Office | Clinic/Center | 136-36 39th Ave 7 Floor, Flushing, NY 11354 | 2018-04-19 |
| 1659761906 | Sarah Yin Medical Pllc | Clinic/Center | 136-20 38 Ave. Suite 6f, Flushing, NY 11354 | 2015-01-26 |
| 1922439157 | Danada Internal Medicine, P.C. | Clinic/Center | 157-02 Northern Blvd., Flushing, NY 11354 | 2013-12-13 |
| 1528372893 | North Shore Queens Medical Associates Pllc | Clinic/Center | 14022 Beech Ave Ste 2c, Flushing, NY 11355-2821 | 2010-07-29 |
| 1902139264 | Hong Jia Medical PC | Clinic/Center | 4235 Main St Ste 3k, Flushing, NY 11355-3969 | 2009-09-17 |
| 1982800439 | Castle of Health Medical Office, P.C. | Clinic/Center | 3916 Prince St Ste 351, Flushing, NY 11354-5361 | 2007-06-22 |
| 1235345257 | Flushing Medical | Clinic/Center | 13710 Franklin Ave Ste L3, Flushing, NY 11355-3842 | 2007-05-15 |
| 1972693398 | Man Yee Linda Tong | Clinic/Center | 4242 Colden St Apt L15, Flushing, NY 11355-4855 | 2006-10-14 |
| 1487121398 | Cao & Associates Medicine Pllc | Clinic/Center | 3808 Union St Ste 6b, Flushing, NY 11354-5672 | 2018-10-29 |
| 1073045878 | Jin Family Medical Pllc | Clinic/Center | 13107 40th Rd, Unite E18, Flushing, NY 11354-5116 | 2017-03-30 |
| Find all providers in FLUSHING | ||||
Please comment or provide details below to improve the information on ABBYDEK FAMILY MEDICAL PRACTICE PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.