Individual
DR. EDMUND PAUL FARRIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 SAW MILL RIVER RD STE 202, HAWTHORNE, NY 10532-1555
(914) 345-3937
Mailing address
179 SPRAIN RD, SCARSDALE, NY 10583-1205
(914) 693-6668
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
047049
CT
207W00000X
Ophthalmology Physician
Primary
193564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01728289
—
NY
Enumeration date
05/17/2006
Last updated
09/04/2024
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