MEDICARE: MS. RAUFA G FAROQUI MD

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	119969	NY

General Provider Information

NPI Number	:	1982881728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RAUFA G FAROQUI MD

Provider Business Mailing Address
First Line	:	59 EAST 54TH STREET
Second Line	:
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 #PH
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	11/23/2016

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