Provider Demographics
NPI:1073876116
Name:MC FARLANE, MARIA BENILDA
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:BENILDA
Last Name:MC FARLANE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 MAIN ST STE 171
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5712
Mailing Address - Country:US
Mailing Address - Phone:347-513-4416
Mailing Address - Fax:
Practice Address - Street 1:211 MAIN ST
Practice Address - Street 2:SUITE 171
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5712
Practice Address - Country:US
Practice Address - Phone:347-513-4416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY280060031174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist