Individual
MR. FARE KASSAM YAGNINIM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
111 EAST 210 ST, MONTEFIORE MEDICAL CENTER, BRONX, NY 10467
(718) 920-4321
Mailing address
1100 FRANKLIN AVE APT 2K, BRONX, NY 10456-5575
(347) 948-2761
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
015550-1
NY
Other
Enumeration date
04/16/2012
Last updated
04/16/2012
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