Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 296039 | NY |
Y | 2080P0214X | Pediatric Pulmonologist | 296039 | NY |
NPI | 1114282654 |
---|---|
Provider Name | Folashade Opeyemi Farri |
First Address | Bronx, NY 10467-2403 |
Second Address | Bronx, NY 10467-2403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2012 |
Last Update Date | 15/07/2019 |