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General NPI Number Information
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NPI Number | 1861467250
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Entity Type | Individual
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Provider Name | SHERIF A FARAG MD
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Gender | Male
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Dates
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Enumeration Date | 02/21/2006
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 5091 AMBOY RD
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City | STATEN ISLAND
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State | NY
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Zip | 10312-4722
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Country | US
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Telephone | 718-948-0221
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Fax |
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Provider Business Mailing Address
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Address Line | 26 ALGONKIN ST
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City | STATEN ISLAND
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State | NY
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Zip | 10312-4302
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Country | US
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Telephone | 718-605-8155
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 213601
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License Number State | NY
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