Healthcare Provider Details

I. General information

NPI: 1841207263
Provider Name (Legal Business Name): ERVI FARKAS PH.D. PSYCHOLOGIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 08/29/2022
Certification Date: 08/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HAROLD RD
PLAINVIEW NY
11803
US

IV. Provider business mailing address

10 HAROLD RD
PLAINVIEW NY
11803
US

V. Phone/Fax

Practice location:
  • Phone: 516-681-9744
  • Fax: 516-681-9744
Mailing address:
  • Phone: 516-681-9744
  • Fax: 516-681-9744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number009968
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: