Provider Demographics
NPI:1124322201
Name:FLATLANDS MEDICAL ASSOCIATES, PLLC
Entity type:Organization
Organization Name:FLATLANDS MEDICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MORO
Authorized Official - Middle Name:
Authorized Official - Last Name:SALIFU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-338-5024
Mailing Address - Street 1:3839 FLATLANDS AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3533
Mailing Address - Country:US
Mailing Address - Phone:718-338-5024
Mailing Address - Fax:718-338-5029
Practice Address - Street 1:3839 FLATLANDS AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3533
Practice Address - Country:US
Practice Address - Phone:718-338-5024
Practice Address - Fax:718-338-5029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-04
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03340512Medicaid