Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 209395 | NY |
NPI | 1134123839 |
---|---|
Provider Name | Dr. Farah M Ashraf |
First Address | Poughkeepsie, NY 12601-1172 |
Second Address | Poughkeepsie, NY 12601-1172 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 01/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02188892 | (05) | NY |