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General NPI Number Information
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NPI Number | 1396241410
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Entity Type | Individual
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Provider Name | MONA FARAHI MD
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Gender | Female
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 121 DEKALB AVE
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City | BROOKLYN
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State | NY
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Zip | 11201-5425
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Country | US
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Telephone | 332-215-0795
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Fax |
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Provider Business Mailing Address
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Address Line | 340 E 66TH ST APT 2F
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City | NEW YORK
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State | NY
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Zip | 10065-6823
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Country | US
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Telephone | 332-215-0795
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZC0500X
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Taxonomy Name | Cytopathology Physician
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License Number | 331434
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 331434
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License Number State | NY
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