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NPI Code Detail

MEDICARE: DR. LANA FARINA PSYD

MEDICARE: DR. LANA FARINA PSYD
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
1103T00000XPsychologist35S100437400NJ
2103TC0700XClinical Psychologist015851-1NY

General Provider Information

NPI Number : 1649311556
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LANA FARINA PSYD
Provider Business Mailing Address
First Line : 19 W 34TH ST PH
Second Line :
City : NEW YORK
State : NY
Zip : 10001-3006
Country : US
Telephone Number : 973-420-8946
Fax Number :
Provider Business Practice Location Address
First Line : 4140 27TH ST
Second Line : THE FLOATING HOSPITAL
City : LONG ISLAND CITY
State : NY
Zip : 11101-3825
Country : US
Telephone Number : 718-784-2240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 06/10/2011

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