Provider Demographics
NPI:1639500135
Name:FARAH, NADIM (MD)
Entity Type:Individual
Prefix:
First Name:NADIM
Middle Name:
Last Name:FARAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18221 150TH AVE
Mailing Address - Street 2:BEY/39305
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-4010
Mailing Address - Country:US
Mailing Address - Phone:718-553-8740
Mailing Address - Fax:
Practice Address - Street 1:AMERICAN UNIVERSITY OF BEIRUT-MEDICAL CENTER
Practice Address - Street 2:
Practice Address - City:BEIRUT
Practice Address - State:BEIRUT
Practice Address - Zip Code:11032090
Practice Address - Country:LB
Practice Address - Phone:011961-387-5075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-09
Last Update Date:2013-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY181693-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology