Individual
PANTEA FARAHMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
245 5TH AVE FL 3, NEW YORK, NY 10016-8728
(347) 952-7490
Mailing address
200 E 82ND ST, NEW YORK, NY 10028-2746
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
276798
MA
2084P0800X
Psychiatry Physician
284051
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
284051
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/20/2013
Last updated
07/31/2023
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