Individual
MR. JORGE ADALBERTO FARRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3331 EASY ST, DUNN, NC 28334-7988
(910) 567-6194
(910) 567-4389
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
(516) 622-2914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
201201998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00864897
—
NY
Enumeration date
10/02/2006
Last updated
05/02/2016
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