Ebrahimi, Farhang F

Ebrahimi, Farhang F is an individual health care provider with primary practice located at 1550 Richmond Ave Suite 205, Staten Island NY 10314. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ebrahimi, Farhang F can be contacted via phone (718) 982-7800.

Contact Information

Primary practice address
1550 Richmond Ave Suite 205 Staten Island NY 10314
Phone: (718) 982-7800
Fax: (718) 982-7722
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 209072 New York

Profile Details

NPI number 1104937796
LBN Legal business name Ebrahimi, Farhang F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 19th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104937796 NPPES
New York Other A400123412 MEDICARE
New York MEDICAID 01905724 MEDICARE

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