Provider Demographics
NPI:1376113258
Name:FARKAS, TZVI (FNP-C)
Entity Type:Individual
Prefix:
First Name:TZVI
Middle Name:
Last Name:FARKAS
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SYCAMORE DR
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-1918
Mailing Address - Country:US
Mailing Address - Phone:845-232-1353
Mailing Address - Fax:
Practice Address - Street 1:14 RAYWOOD DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-2414
Practice Address - Country:US
Practice Address - Phone:845-232-1353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-01
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY727993-01163W00000X
NJ26NR19943500163W00000X
NJ26NJ01274800363LF0000X
NY347859363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse