Healthcare Provider Details

I. General information

NPI: 1134931199
Provider Name (Legal Business Name): BESHOY FARAH DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2025
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 STEWART AVE STE 29
GARDEN CITY NY
11530-4803
US

IV. Provider business mailing address

931 WALT WHITMAN RD
MELVILLE NY
11747-2231
US

V. Phone/Fax

Practice location:
  • Phone: 516-222-1717
  • Fax:
Mailing address:
  • Phone: 631-423-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number065672
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: