Provider Demographics
NPI:1457621088
Name:PARVEZ, FARAH MANIZA (MD, MPH)
Entity type:Individual
Prefix:
First Name:FARAH
Middle Name:MANIZA
Last Name:PARVEZ
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4209 28TH ST
Mailing Address - Street 2:10TH FLOOR, 10-68, CN-52
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-4131
Mailing Address - Country:US
Mailing Address - Phone:347-396-4420
Mailing Address - Fax:
Practice Address - Street 1:4209 28TH ST
Practice Address - Street 2:10TH FLOOR, 10-68, CN-52
Practice Address - City:LONG ISLAND CITY
Practice Address - State:NY
Practice Address - Zip Code:11101-4131
Practice Address - Country:US
Practice Address - Phone:347-396-4420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2012-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60384208000000X
NY233062208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics