MEDICARE: FAROOQ KAZI

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	101YM0800X	Mental Health Counselor	007075	NY
2	101YA0400X	Addiction (Substance Use Disorder) Counselor

Other Identifiers

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

General Provider Information

NPI Number	:	1912314881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAROOQ KAZI

Provider Business Mailing Address
First Line	:	1670 E 17TH ST
Second Line	:	3RD FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11229-1281
Country	:	US
Telephone Number	:	718-233-2533
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 2ND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11215-2711
Country	:	US
Telephone Number	:	718-514-6007
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2014
Last Update Date	:	04/15/2025

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Directions to “ FAROOQ KAZI ” Practice Location

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