Provider Demographics
NPI:1942865530
Name:FARKAS, MARY (RDT, LCAT)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:
Last Name:FARKAS
Suffix:
Gender:F
Credentials:RDT, LCAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 ROMBOUT AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:BEACON
Mailing Address - State:NY
Mailing Address - Zip Code:12508-3208
Mailing Address - Country:US
Mailing Address - Phone:845-809-7129
Mailing Address - Fax:
Practice Address - Street 1:123 ROMBOUT AVE STE 2
Practice Address - Street 2:
Practice Address - City:BEACON
Practice Address - State:NY
Practice Address - Zip Code:12508-3208
Practice Address - Country:US
Practice Address - Phone:845-809-7129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health