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NPI Code Detail

MEDICARE: RUMESAH FARRUKH OD

MEDICARE: RUMESAH FARRUKH OD
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
1152W00000XOptometrist011270NY

General Provider Information

NPI Number : 1306721550
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUMESAH FARRUKH OD
Provider Business Mailing Address
First Line : 2561 KEVIN RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-3533
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 124 E JERICHO TPKE
Second Line :
City : HUNTINGTON STATION
State : NY
Zip : 11746-7324
Country : US
Telephone Number : 631-351-5963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2025
Last Update Date : 08/07/2025

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