Healthcare Provider Details

I. General information

NPI: 1932166709
Provider Name (Legal Business Name): ELI R FARHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 01/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGH ST
BUFFALO NY
14203-1126
US

IV. Provider business mailing address

908 NIAGARA FALLS BLVD SUITE 208
N TONAWANDA NY
14120-2019
US

V. Phone/Fax

Practice location:
  • Phone: 716-710-8266
  • Fax: 716-710-8267
Mailing address:
  • Phone: 716-692-3302
  • Fax: 716-213-0935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number171709-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number171709
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: