Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 281893 | NY |
N | 208600000X | Surgeon | 281893 | NY |
N | 208200000X | Surgeon | MD-46096 | IA |
N | 208600000X | Surgeon | MD-46096 | IA |
Y | 2086S0120X | Pediatric Surgery | 281893 | NY |
N | 2086S0120X | Pediatric Surgery | MD-46096 | IA |
NPI | 1154697100 |
---|---|
Provider Name | Dr. Benjamin Asher Farber |
First Address | Bronx, NY 10467-2801 |
Second Address | Bronx, NY 10467-2801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2012 |
Last Update Date | 05/10/2021 |