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Individual

FAISAL WAHEED PARACHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1240 ULSTER AVE, KINGSTON, NY 12401-1517
(845) 443-8721
(845) 790-3182
Mailing address
1240 ULSTER AVE, KINGSTON, NY 12401-1517
(845) 443-8721
(845) 790-3182

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
255357
NY
207RH0003X
Hematology & Oncology Physician
Primary
255357
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02756485
NY
Enumeration date
05/10/2006
Last updated
01/22/2021
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