Individual
DR. EDWARD M FARHANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MARYS AVE, KINGSTON, NY 12401-5852
(845) 339-7700
Mailing address
1020A E BOAL AVE, BOALSBURG, PA 16827-1509
(814) 237-8627
(814) 238-0083
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
210383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000496057001
BCBS NENY
NY
01
—
000496057002
BCBS NENY
NY
01
—
000496057003
BCBS NENY
NY
05
—
01863565
—
NY
01
—
10034670
CDPHP
NY
01
—
2341569
AETNA USHC HMO
NY
01
—
2342145
AETNA USHC HMO
NY
01
—
2H2411
EMPIRE BCBS
NY
01
—
318243
MVP
NY
01
—
397246
MVP
NY
01
—
3U8551
EMPIRE BCBS
NY
01
—
4099750
GHI PPO
NY
01
—
45609
GHI HMO
NY
01
—
7340099
AETNA USHC PPO
NY
01
—
9601022
GHI
NY
Enumeration date
01/12/2006
Last updated
07/08/2007
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