Provider Demographics
NPI:1790735348
Name:SATTI, FARHANA (MD)
Entity Type:Individual
Prefix:
First Name:FARHANA
Middle Name:
Last Name:SATTI
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 1:36 WOODBURY FARMS DR
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11797-1241
Mailing Address - Country:US
Mailing Address - Phone:516-655-8670
Mailing Address - Fax:516-828-4722
Practice Address - Street 1:3029 38TH ST
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3875
Practice Address - Country:US
Practice Address - Phone:185-357-9277
Practice Address - Fax:516-828-4722
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY227940207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02425845Medicaid
NY07732Medicare ID - Type UnspecifiedGHI
NY02425845Medicaid
NY2269S1Medicare ID - Type UnspecifiedEMPIRE