Individual
DR. MARIAM SOPHIA FARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1766 SEMINOLE AVE, BRONX, NY 10461-1808
(929) 841-6244
Mailing address
1766 SEMINOLE AVE, BRONX, NY 10461-1808
(929) 841-6244
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
026905
NY
Other
Enumeration date
11/15/2024
Last updated
12/25/2024
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