Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

October Medical PC

Organization Family Medicine Physician · NPI 1639868763

October Medical PC is a Family Medicine Physician in Jackson Heights, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3704 91st St Ste D
Jackson Heights, NY 11372-7909
Phone: (929) 401-4936
Fax: (516) 534-4666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1639868763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonia Walker-Adamson — Do · (516) 404-6550
NPI enumeratedMay 4, 2023
Last updated in NPPESJanuary 11, 2024
Certification dateOctober 20, 2023
Mailing address3704 91st St Ste D, Jackson Heights, NY 11372-7909

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