Provider Demographics
NPI:1134495765
Name:HAMMOUD, FARAH SOBHI
Entity type:Individual
Prefix:MRS
First Name:FARAH
Middle Name:SOBHI
Last Name:HAMMOUD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 BRADY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10462-2701
Mailing Address - Country:US
Mailing Address - Phone:718-824-7350
Mailing Address - Fax:718-828-4531
Practice Address - Street 1:725 BRADY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-2701
Practice Address - Country:US
Practice Address - Phone:718-824-7350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010845-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist