Provider Demographics
NPI:1558561704
Name:TAHER, FARAH DEEBA (MD)
Entity Type:Individual
Prefix:DR
First Name:FARAH
Middle Name:DEEBA
Last Name:TAHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 HEYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2412
Mailing Address - Country:US
Mailing Address - Phone:516-233-7758
Mailing Address - Fax:516-385-4206
Practice Address - Street 1:52 HEYWOOD ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2412
Practice Address - Country:US
Practice Address - Phone:516-233-7758
Practice Address - Fax:516-385-4206
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245264-1207V00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice