Individual
FARAH MAHMUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PARK AVE, NEW YORK, NY 10016-5802
(978) 606-9171
Mailing address
11 PINE ST APT 117, MONTCLAIR, NJ 07042-4370
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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