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NPI Code Detail

MEDICARE: CORANE FARQUHARSON

MEDICARE: CORANE FARQUHARSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker085967NY

General Provider Information

NPI Number : 1336669936
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORANE FARQUHARSON
Provider Business Mailing Address
First Line : 100 GRANDVIEW AVE
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10553-1603
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 329 E 149TH ST
Second Line :
City : BRONX
State : NY
Zip : 10451-5625
Country : US
Telephone Number : 718-332-1648
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2017
Last Update Date : 06/23/2017

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Directions to “ CORANE FARQUHARSON ” Practice Location

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