Provider Demographics
NPI:1366538498
Name:NAVARRETE, FE AGTARAP (MD)
Entity type:Individual
Prefix:DR
First Name:FE
Middle Name:AGTARAP
Last Name:NAVARRETE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:248 03 139TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11422
Mailing Address - Country:US
Mailing Address - Phone:718-525-7706
Mailing Address - Fax:718-525-7097
Practice Address - Street 1:48 MELROSE ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11206
Practice Address - Country:US
Practice Address - Phone:718-919-0005
Practice Address - Fax:718-525-7097
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153486208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
040426028384OtherFIDELIS
010153486NYOtherANTHEM
NY00754921Medicaid
261007OtherUNITED HC
100015199OtherAFFINITY
153486E16OtherHEALTH FIRST
1C1948OtherHEALTH NET
000025701OtherAMERI CHOICE
P2046087OtherOXFORD
P61104440OtherMULTI PLAN
08419OtherHIP
26P9781OtherNY PRESBYTERIAN HEALTH PL
1534860199001OtherNEIGHBORHOOD HEALTH PROV
1C1948OtherHEALTH NET