Individual
DR. POURIA MARC FARHOOMANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(646) 827-0526
Mailing address
7559 263RD ST, GLEN OAKS, NY 11004-1150
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
285165
NY
Other
Enumeration date
06/07/2013
Last updated
01/14/2020
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