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

The Beauty Source Inc

Organization Internal Medicine Physician · NPI 1508616301

The Beauty Source Inc is an Internal Medicine Physician in Fresh Meadows, New York. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16602 76th Ave
Fresh Meadows, NY 11366-1253
Phone: (929) 390-2862
Fax: (718) 223-5701
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1508616301
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Zoohra Mashriqi — Owner · (917) 209-5155
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 25, 2024
Mailing address16602 76th Ave, Fresh Meadows, NY 11366-1253

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