Provider Demographics
NPI:1316193550
Name:ALIM, FAREEAH (DC)
Entity Type:Individual
Prefix:
First Name:FAREEAH
Middle Name:
Last Name:ALIM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 BRIGHTWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-1825
Mailing Address - Country:US
Mailing Address - Phone:646-279-2646
Mailing Address - Fax:
Practice Address - Street 1:57 BRIGHTWOOD AVE
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-1825
Practice Address - Country:US
Practice Address - Phone:646-279-2646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-07
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011560111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor