Individual
YASSER FARAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(866) 400-3376
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 790-2085
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0102209822
VA
207N00000X
Dermatology Physician
Primary
18932
FL
207ND0101X
MOHS-Micrographic Surgery Physician
4821
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
12/08/2025
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