Provider Demographics
NPI:1134123839
Name:ASHRAF, FARAH M (DO)
Entity Type:Individual
Prefix:DR
First Name:FARAH
Middle Name:M
Last Name:ASHRAF
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:243 NORTH RD
Mailing Address - Street 2:SUITE 304
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-1172
Mailing Address - Country:US
Mailing Address - Phone:845-451-7251
Mailing Address - Fax:845-451-7757
Practice Address - Street 1:243 NORTH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1172
Practice Address - Country:US
Practice Address - Phone:845-454-9500
Practice Address - Fax:845-454-2256
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2016-03-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY209395207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02188892Medicaid
A400109051Medicare PIN
NY02188892Medicaid