Provider Demographics
NPI:1427368356
Name:FARMAN, SHABNAM (RPH)
Entity Type:Individual
Prefix:
First Name:SHABNAM
Middle Name:
Last Name:FARMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SHABNAM
Other - Middle Name:
Other - Last Name:FARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4218 201ST
Mailing Address - Street 2:APT 5G
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-2502
Mailing Address - Country:US
Mailing Address - Phone:917-544-7754
Mailing Address - Fax:
Practice Address - Street 1:4218 201ST
Practice Address - Street 2:APT 5G
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-2502
Practice Address - Country:US
Practice Address - Phone:917-544-7754
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054996-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist