Moore, Qadara Farih

Moore, Qadara Farih is an individual health care provider with primary practice located at 374 Grand Ave , New Haven CT 06513-3733. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Moore, Qadara Farih can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
374 Grand Ave New Haven CT 06513-3733
Phone: (203) 777-7411
Fax: (203) 777-6508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001633 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 012904 New York

Profile Details

NPI number 1821049206
LBN Legal business name Moore, Qadara Farih
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 7th, 2023 - about last year

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 1821049206 NPPES
New York Other 6543809 NEW YORK STATE (CERTIFICATE NUMBER)
New York Other 1066955 NEW YORK STATE (CERTIFICATE NUMBER)
New York Other 012904 NEW YORK STATE (CERTIFICATE NUMBER)
New York Other 11485065 NEW YORK STATE (CERTIFICATE NUMBER)
New York Other 38064 NEW YORK STATE (CERTIFICATE NUMBER)

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