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Organization

EDUARDO FARCON, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDUARDO FARCON M.D. (PRESIDENT)
(212) 263-7018
Entity
Organization

Contact information

Practice address
530 1ST AVE, SUITE 3D, NEW YORK, NY 10016-6402
(212) 263-7018
(212) 263-7011
Mailing address
530 1ST AVE, SUITE 3D, NEW YORK, NY 10016-6402
(212) 263-7018
(212) 263-7011

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
121472
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00227812
NY
Enumeration date
04/07/2008
Last updated
06/27/2008
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