Maryam Farazandeh
General Practice Physician
2015 Grand Concourse
Bronx
, New York 10453-4303
Maryam Farazandeh
General Practice Physician
2015 Grand Concourse
Bronx
, New York 10453-4303
(718) 618-0401
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About
Features
Specialties
- General Practice Physician
Languages spoken
- English
Location
First Address
- Maryam Farazandeh
- 3198 Grand Concourse
- Bronx, NY
- Zip : 10458-1000
- Phone : (718) 618-0401
Second Address
- Maryam Farazandeh
- 2015 Grand Concourse
- Bronx, NY
- Zip : 10453-4303
- Phone : (718) 299-7295
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208D00000X | General Practice Physician | P13753 | NY |
National Provider Identifier
| NPI | 1013484856 |
|---|---|
| Provider Name | Maryam Farazandeh |
| First Address | Bronx, NY 10458-1000 |
| Second Address | Bronx, NY 10453-4303 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/10/2018 |
| Last Update Date | 08/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.