Individual
MS. FARIBA DELAFRAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
255 EXECUTIVE DR, PLAINVIEW, NY 11803-1718
(516) 576-2040
Mailing address
5 SOUTH ST, GREAT NECK, NY 11023-1218
(516) 655-5960
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
605512693
NY
Other
Enumeration date
08/16/2015
Last updated
08/16/2015
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