Provider Demographics
NPI:1821331729
Name:ALANI, FARAH (HBA, DPM)
Entity Type:Individual
Prefix:DR
First Name:FARAH
Middle Name:
Last Name:ALANI
Suffix:
Gender:F
Credentials:HBA, DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:369 LEXINGTON AVE RM 12B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10017-6527
Mailing Address - Country:US
Mailing Address - Phone:917-398-9145
Mailing Address - Fax:917-398-9146
Practice Address - Street 1:369 LEXINGTON AVE RM 12B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6527
Practice Address - Country:US
Practice Address - Phone:917-398-9145
Practice Address - Fax:917-398-9146
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP84859213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP84859OtherNYS PERMIT