Individual
NELI FARAZMAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPAC
Contact information
Practice address
2601 OCEAN PKWY, BROOKLYN, NY 11235-7745
(718) 616-3440
(718) 616-4436
Mailing address
1557 E 18TH ST, BROOKLYN, NY 11230-7201
(718) 998-4761
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
008689-1
NY
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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