Provider Demographics
NPI:1417495508
Name:FARHAN, SERDAR (MD)
Entity Type:Individual
Prefix:
First Name:SERDAR
Middle Name:
Last Name:FARHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1 GUSTAVE L LEVY PL
Mailing Address - Street 2:PO BOX 1030
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6504
Mailing Address - Country:US
Mailing Address - Phone:212-241-3419
Mailing Address - Fax:212-534-2845
Practice Address - Street 1:1 GUSTAVE L LEVY PL
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6504
Practice Address - Country:US
Practice Address - Phone:212-241-3419
Practice Address - Fax:212-534-2845
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2020-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY302688207RC0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease