Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 305093 | NY |
NPI | 1023352770 |
---|---|
Provider Name | Lara Farhat |
First Address | Brooklyn, NY 11216-5475 |
Second Address | New York, NY 10016-8827 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2012 |
Last Update Date | 11/08/2021 |