Provider Demographics
NPI:1912100777
Name:ARIF, FARZANA (MD)
Entity Type:Individual
Prefix:
First Name:FARZANA
Middle Name:
Last Name:ARIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:31 E WALNUT STREET
Mailing Address - Street 2:COLONIA
Mailing Address - City:COLONIA
Mailing Address - State:NJ
Mailing Address - Zip Code:07067-1710
Mailing Address - Country:US
Mailing Address - Phone:866-909-7284
Mailing Address - Fax:908-272-1478
Practice Address - Street 1:560 1ST AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6402
Practice Address - Country:US
Practice Address - Phone:212-263-5150
Practice Address - Fax:212-263-7916
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY249581-1207ZP0102X
NJ25MA08339000207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology