Healthcare Provider Details

I. General information

NPI: 1023715802
Provider Name (Legal Business Name): FARAH SARWARI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2023
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 S BAYLES AVE
PORT WASHINGTON NY
11050-3708
US

IV. Provider business mailing address

199 2ND ST APT W431
MINEOLA NY
11501-6017
US

V. Phone/Fax

Practice location:
  • Phone: 516-883-1234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number064066-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: