Faris, Judith A
Faris, Judith A is an individual health care provider with primary practice located at 1154 Peapond Rd , North Bellmore NY 11710-2914. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Faris, Judith A can be contacted via phone (516) 781-6074.Contact Information
Primary practice address
1154 Peapond Rd
North Bellmore NY 11710-2914
Phone: (516) 781-6074
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | 029164 | New York |
Profile Details
NPI number | 1053593061 |
---|---|
LBN Legal business name | Faris, Judith A |
Credentials | RPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 30th, 2007 |
Last updated | Nov 30th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053593061 | NPPES |
New York | MEDICAID | 1275642761 |
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