Healthcare Provider Details

I. General information

NPI: 1144157751
Provider Name (Legal Business Name): ARAM FARNOOD, NURSE PRACTITIONER IN FAMILY HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 KNOLL LN
ROSLYN HEIGHTS NY
11577-2607
US

IV. Provider business mailing address

21 KNOLL LN
ROSLYN HEIGHTS NY
11577-2607
US

V. Phone/Fax

Practice location:
  • Phone: 917-415-1183
  • Fax:
Mailing address:
  • Phone: 516-459-6610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. ARAM FARNOOD
Title or Position: FAMILY NURSE PRACTITIONER
Credential:
Phone: 917-415-1183