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NPI Code Detail

MEDICARE: DR. ROBERT FARRON D.O.

MEDICARE:  DR. ROBERT  FARRON  D.O.
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
1207Q00000XFamily Medicine Physician116243NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245237098
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT FARRON D.O.
Provider Business Mailing Address
First Line : 2240 MOTT AVE
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-3070
Country : US
Telephone Number : 718-471-3159
Fax Number : 718-327-7924
Provider Business Practice Location Address
First Line : 2240 MOTT AVE
Second Line :
City : FAR ROCKAWAY
State : NY
Zip : 11691-3070
Country : US
Telephone Number : 718-471-3159
Fax Number : 718-327-7924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 06/16/2008

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Directions to “ DR. ROBERT FARRON D.O.” Practice Location

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