Healthcare Provider Details

I. General information

NPI: 1699708107
Provider Name (Legal Business Name): JANET M FAGHIHI D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 05/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MAIN ST
HASTINGS ON HUDSON NY
10706-1601
US

IV. Provider business mailing address

55 MAIN ST
HASTINGS ON HUDSON NY
10706-1601
US

V. Phone/Fax

Practice location:
  • Phone: 914-478-8120
  • Fax: 914-478-1818
Mailing address:
  • Phone: 914-478-8120
  • Fax: 914-478-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberN005396
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: