Provider Demographics
NPI:1790746220
Name:FARAH, SAMER (MD)
Entity Type:Individual
Prefix:MR
First Name:SAMER
Middle Name:
Last Name:FARAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:SAMER
Other - Middle Name:
Other - Last Name:FARAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3250 WESTCHESTER AVE
Mailing Address - Street 2:SUITE 203A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-4500
Mailing Address - Country:US
Mailing Address - Phone:718-823-0820
Mailing Address - Fax:718-823-0821
Practice Address - Street 1:3250 WESTCHESTER AVE
Practice Address - Street 2:SUITE 203A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4500
Practice Address - Country:US
Practice Address - Phone:718-823-0820
Practice Address - Fax:718-823-0821
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY203138207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist