Individual
LARA FARHAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D. O
Contact information
Practice address
381 PARK AVE S RM 1020, NEW YORK, NY 10016-8827
(212) 260-6078
Mailing address
661 LINCOLN PL APT 3M, BROOKLYN, NY 11216-5475
(862) 452-3367
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
305093
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2012
Last updated
08/11/2021
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