Individual
MICHELE JENNA FARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 E 35TH ST RM 208, NEW YORK, NY 10016-3823
(212) 684-5964
Mailing address
35 E 35TH ST RM 208, NEW YORK, NY 10016-3823
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
283935
NY
207R00000X
Internal Medicine Physician
MT202086
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT202086
PA
Other
Enumeration date
06/05/2012
Last updated
01/06/2017
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