Individual
FARHANA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R-PAC
Contact information
Practice address
10639 78TH ST, OZONE PARK, NY 11417-1016
(347) 484-4746
Mailing address
10639 78TH ST, OZONE PARK, NY 11417-1016
(347) 484-4746
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019360
NY
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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