Individual
FARZAD FAKHERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 RALPH PL STE 106, STATEN ISLAND, NY 10304
(718) 720-2001
(718) 981-3542
Mailing address
8 RIDGEWAY DR, KINGS POINT, NY 11024-1435
(718) 720-2001
(718) 981-3542
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
191296
NY
Other
Enumeration date
03/29/2006
Last updated
07/21/2022
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