MEDICARE: FARIDA DURRANI MD

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	282N00000X	General Acute Care Hospital		NY
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1194132639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARIDA DURRANI MD

Provider Business Mailing Address
First Line	:	1288 BAY ST
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10305-3123
Country	:	US
Telephone Number	:	501-940-8067
Fax Number	:

Provider Business Practice Location Address
First Line	:	2601 OCEAN PARKWAY
Second Line	:	CONEY ISLAND HOSPITAL DEPARTMENT OF PATHOLODY
City	:	BROOKLYN
State	:	NY
Zip	:	11235
Country	:	US
Telephone Number	:	718-616-3000
Fax Number	:

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

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	08/17/2018

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