Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 191254 | NY |
NPI | 1093285223 |
---|---|
Provider Name | Dr. Faez Faruqi |
First Address | Aventura, FL 33160-5290 |
Second Address | Syracuse, NY 13205-2544 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2018 |
Last Update Date | 30/11/2018 |