MEDICARE: MRS. HAMERA ARSHAD FARIDI PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	021890	NY
2	363AM0700X	Medical Physician Assistant	021890	NY

General Provider Information

NPI Number	:	1033602982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HAMERA ARSHAD FARIDI PA-C

Provider Business Mailing Address
First Line	:	78 HUNTERS LN
Second Line	:
City	:	WESTBURY
State	:	NY
Zip	:	11590-2832
Country	:	US
Telephone Number	:	516-633-4593
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 HEALTHY WAY
Second Line	:
City	:	OCEANSIDE
State	:	NY
Zip	:	11572
Country	:	US
Telephone Number	:	516-633-4593
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2018
Last Update Date	:	01/21/2026

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