Provider Demographics
NPI:1942211891
Name:FARHI, JANE IRIS (MD, FACC)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:IRIS
Last Name:FARHI
Suffix:
Gender:F
Credentials:MD, FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1075 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-1003
Mailing Address - Country:US
Mailing Address - Phone:212-722-0854
Mailing Address - Fax:212-722-0871
Practice Address - Street 1:1075 PARK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-1003
Practice Address - Country:US
Practice Address - Phone:212-722-0854
Practice Address - Fax:212-722-0871
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY150875207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB78916Medicare UPIN