Provider Demographics
NPI:1508215161
Name:FAROQUI, FARHANA
Entity Type:Individual
Prefix:MS
First Name:FARHANA
Middle Name:
Last Name:FAROQUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ROSE RD
Mailing Address - Street 2:
Mailing Address - City:WEST NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10994-2115
Mailing Address - Country:US
Mailing Address - Phone:845-596-7660
Mailing Address - Fax:
Practice Address - Street 1:25 ROSE RD
Practice Address - Street 2:
Practice Address - City:WEST NYACK
Practice Address - State:NY
Practice Address - Zip Code:10994-2115
Practice Address - Country:US
Practice Address - Phone:845-596-7660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-05
Last Update Date:2016-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist