Individual
FARZAN FILSOUFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1190 5TH AVE, BOX 1028, NEW YORK, NY 10029-6503
(212) 659-6800
(212) 659-6818
Mailing address
1190 5TH AVE, BOX 1028, NEW YORK, NY 10029-6503
(212) 659-6800
(212) 659-6818
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
002305
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02662664
—
NY
Enumeration date
06/01/2006
Last updated
08/09/2012
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