Provider Demographics
NPI:1760457113
Name:FARID, AYMAN E (MD)
Entity Type:Individual
Prefix:DR
First Name:AYMAN
Middle Name:E
Last Name:FARID
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 1:5091 AMBOY ROAD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312
Mailing Address - Country:US
Mailing Address - Phone:718-984-2100
Mailing Address - Fax:
Practice Address - Street 1:5091 AMBOY ROAD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312
Practice Address - Country:US
Practice Address - Phone:718-984-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY196044207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY0000000OtherUNITED HEALTH CARE
NY5068480OtherAETNA
NYP537126OtherOXFORD
NY01648984Medicaid
NY149806POtherHIP
NY2102085OtherGHI
NY21N932OtherEMPIRE BLUE CROSS
NY807706OtherAETNA PRIMARY
NYG47476Medicare UPIN
NY21N931Medicare PIN