Individual
EDUARDO M FARCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
530 1ST AVE, D, NEW YORK, NY 10016-6402
(212) 263-7018
(212) 263-7011
Mailing address
530 1ST AVE, STE 3D, NEW YORK, NY 10016-6402
(212) 263-7018
(212) 263-7011
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
121472
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00227812
—
NY
Enumeration date
11/03/2005
Last updated
11/29/2007
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