Provider Demographics
NPI:1437897113
Name:ZERIN, FARRAH (LAC)
Entity Type:Individual
Prefix:
First Name:FARRAH
Middle Name:
Last Name:ZERIN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN DALE
Mailing Address - State:NY
Mailing Address - Zip Code:12763
Mailing Address - Country:US
Mailing Address - Phone:646-300-0398
Mailing Address - Fax:
Practice Address - Street 1:54 MAIN STREET
Practice Address - Street 2:
Practice Address - City:MOUNTAIN DALE
Practice Address - State:NY
Practice Address - Zip Code:12763
Practice Address - Country:US
Practice Address - Phone:646-300-0398
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-23
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007107171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist