Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 244398 | NY |
NPI | 1902082431 |
---|---|
Provider Name | Dr. Sherry Farzan |
First Address | Great Neck, NY 11021-5310 |
Second Address | Great Neck, NY 11021-5310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2008 |
Last Update Date | 01/07/2009 |