Individual
FARKHUNDA RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
STONY BROOK MEDICINE 101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Mailing address
228 PULASKI RD, KINGS PARK, NY 11754-2517
(631) 793-0802
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
301548
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/25/2012
Last updated
01/17/2023
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