Individual
DR. FARZANA AHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 LAMBERT AVE, MASTIC, NY 11950-2100
(631) 281-4070
(631) 281-4078
Mailing address
1 LAMBERT AVE, MASTIC, NY 11950-2100
(631) 281-4070
(631) 281-4078
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
171134
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01835776
—
NY
Enumeration date
10/28/2005
Last updated
04/12/2022
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