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NPI Code Detail

MEDICARE: ALEXA GOLDFARB D.O.

MEDICARE:   ALEXA  GOLDFARB  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
1208000000XPediatrics Physician302998NY
2390200000XStudent in an Organized Health Care Education/Training Program
32080P0206XPediatric Gastroenterology Physician302998NY

General Provider Information

NPI Number : 1881125136
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXA GOLDFARB D.O.
Provider Business Mailing Address
First Line : 3411 WAYNE AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-2509
Country : US
Telephone Number : 203-858-9525
Fax Number :
Provider Business Practice Location Address
First Line : 3411 WAYNE AVE
Second Line :
City : BRONX
State : NY
Zip : 10467-2509
Country : US
Telephone Number : 718-741-2487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2017
Last Update Date : 03/24/2023

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