Individual
DR. FARLA JEAN-LOUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DATES DR, ITHACA, NY 14850-1383
(607) 274-4011
Mailing address
4802 10TH AVE, BROOKLYN, NY 11219-2916
(718) 283-6000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
328322
NY
Other
Enumeration date
07/19/2018
Last updated
07/11/2024
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