Farooq, Mariam

Farooq, Mariam is an individual health care provider with primary practice located at 299 Hallock Ave , Port Jefferson Station NY 11776-1217. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Farooq, Mariam can be contacted via phone (631) 473-4284.

Contact Information

Primary practice address
299 Hallock Ave Port Jefferson Station NY 11776-1217
Fax:
Website:

Profile Details

NPI number 1457807562
LBN Legal business name Farooq, Mariam
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2016
Last updated Aug 29th, 2016 - about 9 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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