Individual
DR. FARA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
353 E 17TH ST FL 2, NEW YORK, NY 10003-3821
(212) 420-3743
Mailing address
353 E 17TH ST FL 2, NEW YORK, NY 10003-3821
(212) 042-0374
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA10060100
NJ
Other
Enumeration date
04/06/2013
Last updated
10/27/2017
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