Individual
FARHANA KHARODIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5141 BROADWAY, NEW YORK, NY 10034-1159
(212) 932-4461
Mailing address
3520 DEKALB AVE, APT # 4B, BRONX, NY 10467-1203
(347) 259-9042
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
019389
NY
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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