Provider Demographics
NPI:1467610071
Name:AYMAN E. FARID, MD LLC
Entity Type:Organization
Organization Name:AYMAN E. FARID, MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AYMAN
Authorized Official - Middle Name:EMIL
Authorized Official - Last Name:FARID
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:718-984-2100
Mailing Address - Street 1:5091 AMBOY RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-4722
Mailing Address - Country:US
Mailing Address - Phone:718-984-2100
Mailing Address - Fax:718-317-6582
Practice Address - Street 1:5091 AMBOY RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-4722
Practice Address - Country:US
Practice Address - Phone:718-984-2100
Practice Address - Fax:718-317-6582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-30
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196044207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY21N932OtherEMPIRE BLUE CROSS
NY5068480OtherAETNA SPECIALTY
NYP537126OtherOXFORD
NY807706OtherAETNA PRIMARY
NY149806POtherHIP
NY01648984Medicaid
NY2102085OtherGHI
NY807706OtherAETNA PRIMARY
NY807706OtherAETNA PRIMARY
NYG47476Medicare UPIN