Individual
GHOLAMALI FARAHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
935 NORTHERN BLVD, SUITE 105, GREAT NECK, NY 11021
(516) 829-2525
(516) 829-5326
Mailing address
935 NORTHERN BLVD, SUITE 105, GREAT NECK, NY 11021
(516) 829-2525
(516) 829-5326
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
115087
NY
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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