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NPI Code Detail

MEDICARE: ASIYAH FARHANE MHC-LP

MEDICARE:   ASIYAH  FARHANE  MHC-LP
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
1101YM0800XMental Health CounselorP124078NY

General Provider Information

NPI Number : 1821859737
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASIYAH FARHANE MHC-LP
Provider Business Mailing Address
First Line : 395 ANN ST # 1L
Second Line :
City : NEWBURGH
State : NY
Zip : 12550-5335
Country : US
Telephone Number : 347-740-8403
Fax Number :
Provider Business Practice Location Address
First Line : 1284 E 19TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5404
Country : US
Telephone Number : 929-552-5134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2024
Last Update Date : 01/10/2026

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Directions to “ ASIYAH FARHANE MHC-LP” Practice Location

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