Provider Demographics
NPI:1356322366
Name:FARBER, GUY A (MD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:A
Last Name:FARBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:100 MANETTO HILL RD STE 312
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-1311
Mailing Address - Country:US
Mailing Address - Phone:516-714-5098
Mailing Address - Fax:516-714-5096
Practice Address - Street 1:100 MANETTO HILL RD STE 312
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-1311
Practice Address - Country:US
Practice Address - Phone:516-714-5098
Practice Address - Fax:516-714-5096
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2296802084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY06675Medicare ID - Type UnspecifiedIN QUEENS
NYIO7283Medicare UPIN
NY575BJ1Medicare ID - Type UnspecifiedEMPIRE MEDICARE