Provider Demographics
NPI:1376613752
Name:FARKAS, SOL (MD)
Entity Type:Individual
Prefix:DR
First Name:SOL
Middle Name:
Last Name:FARKAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 N VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-4606
Mailing Address - Country:US
Mailing Address - Phone:516-764-7076
Mailing Address - Fax:516-594-1619
Practice Address - Street 1:76 N VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4606
Practice Address - Country:US
Practice Address - Phone:516-764-7076
Practice Address - Fax:516-594-1619
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY131639174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA61539Medicare UPIN