Provider Demographics
NPI:1417101742
Name:JANET FAGHIHI, DPM
Entity Type:Organization
Organization Name:JANET FAGHIHI, DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:M
Authorized Official - Last Name:FAGHIHI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:914-478-1571
Mailing Address - Street 1:55 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1601
Mailing Address - Country:US
Mailing Address - Phone:914-478-1571
Mailing Address - Fax:914-478-1818
Practice Address - Street 1:55 MAIN ST
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1601
Practice Address - Country:US
Practice Address - Phone:914-478-1571
Practice Address - Fax:914-478-1818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYN005396213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY5137190001Medicare NSC