Provider Demographics
NPI:1982978961
Name:CONTRACTOR, FARHANAHMED M (DO)
Entity Type:Individual
Prefix:
First Name:FARHANAHMED
Middle Name:M
Last Name:CONTRACTOR
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:25 W 45TH ST STE 402
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4913
Mailing Address - Country:US
Mailing Address - Phone:332-456-5377
Mailing Address - Fax:332-456-5377
Practice Address - Street 1:25 W 45TH ST STE 402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-4913
Practice Address - Country:US
Practice Address - Phone:332-456-5377
Practice Address - Fax:332-456-5377
Is Sole Proprietor?:No
Enumeration Date:2012-03-08
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY266973207Q00000X
NY26697207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine