Fairview Family Practice, P.C.

LBN: Fairview Family Practice, P.C.
Fairview Family Practice, P.C. is an health care organization with primary practice located at 267 Fairview Ave , Hudson NY 12534-1210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Fairview Family Practice, P.C. can be contacted via phone (518) 828-4062, or through Khandaker, Dilara via phone (518) 828-4062.

Contact Information

Primary practice address
267 Fairview Ave Hudson NY 12534-1210
Phone: (518) 828-4062
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khandaker, Dilara Doctor of Medicine (MD)
Phone: (518) 828-4062

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1124241351
LBN Legal business name Fairview Family Practice, P.C.
DBA Doing business as
Authorized official Khandaker, Dilara Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124241351 NPPES
New York MEDICAID 01431218

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