Individual
SHIRA FARKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 FIELDS AVE, STATEN ISLAND, NY 10314-5066
(917) 991-8036
Mailing address
123 FIELDS AVE, STATEN ISLAND, NY 10314
(917) 991-8036
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
557043922
NY
Other
Enumeration date
07/26/2016
Last updated
07/26/2016
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