Individual
FARAH KHORASSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
8000 UTOPIA PKWY, JAMAICA, NY 11439-9000
(914) 843-8143
Mailing address
209 GARTH RD APT 3D, SCARSDALE, NY 10583-8004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
I056616-01
NY
1835P1300X
Psychiatric Pharmacist
Primary
I056616-01
NY
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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