Individual
DR. FARAH HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 SMITH HAVEN MALL STE 202, LAKE GROVE, NY 11755-1219
(631) 444-6250
(631) 444-6665
Mailing address
2500 NESCONSET HWY, STONY BROOK, NY 11790-2555
(631) 444-6250
(631) 444-1122
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
281867-1
NY
2083X0100X
Occupational Medicine Physician
Primary
281867-1
NY
Other
Enumeration date
07/07/2011
Last updated
10/12/2023
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