Healthcare Provider Details

I. General information

NPI: 1326561804
Provider Name (Legal Business Name): NAJIHA FAROOQI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2017
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 MASON AVE BLDG C3
STATEN ISLAND NY
10305-3408
US

IV. Provider business mailing address

256 MASON AVE BLDG C3
STATEN ISLAND NY
10305-3408
US

V. Phone/Fax

Practice location:
  • Phone: 718-226-6398
  • Fax: 718-226-1247
Mailing address:
  • Phone: 718-226-6398
  • Fax: 718-226-1247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number332004
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number332004
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: