Healthcare Provider Details

I. General information

NPI: 1669813499
Provider Name (Legal Business Name): GABRIELLA INCZEDY FARKAS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 TRADERS CROSS FL 1
BLUFFTON SC
29909-4637
US

IV. Provider business mailing address

667 STONELEIGH AVE STE 202
CARMEL NY
10512-2455
US

V. Phone/Fax

Practice location:
  • Phone: 917-267-9678
  • Fax: 404-592-9065
Mailing address:
  • Phone: 845-279-5908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number82324
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number286665
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: