Individual
FARAH HAIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 PACE PLZ, NEW YORK, NY 10038-1598
(347) 000-0000
Mailing address
1 PACE PLZ, NEW YORK, NY 10038-1598
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
025886
NY
Other
Enumeration date
11/19/2020
Last updated
01/10/2021
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