MEDICARE: RAUFA G FAROQUI MD PC

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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1366572042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAUFA G FAROQUI MD PC

Provider Business Mailing Address
First Line	:	59 EAST 54TH STREET
Second Line	:	SUITE # PENT HOUSE
City	:	NEW YORK
State	:	NY
Zip	:	10022-4211
Country	:	US
Telephone Number	:	212-888-1870
Fax Number	:	212-888-7066

Provider Business Practice Location Address
First Line	:	59 EAST 54TH STREET
Second Line	:	SUITE PENT HOUSE
City	:	NEW YORK
State	:	NY
Zip	:	10022-4211
Country	:	US
Telephone Number	:	212-888-1870
Fax Number	:	212-888-7066

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. RAUFA G FAROQUI
Credential	:	MD
Telephone Number	:	212-888-1870

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	08/22/2020

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