Individual
MYISHA TEMPEST FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 COURTLANDT AVE, BRONX, NY 10451-5007
(718) 282-2193
Mailing address
416 E 137TH ST APT 1G, BRONX, NY 10454-4022
(347) 964-3094
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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