Alima B. Farooki Md Pc | |
127 Union St Suite 106 Ridgewood NJ 07450-4478 | |
(201) 444-6140 | |
(201) 444-6148 |
Full Name | Alima B. Farooki Md Pc |
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Speciality | Psychiatry & Neurology |
Location | 127 Union St, Ridgewood, New Jersey |
Authorized Official Name and Position | Alima B Farooki (OWNER) |
Authorized Official Contact | 2014446140 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Alima B. Farooki Md Pc 127 Union St Suite 106 Ridgewood NJ 07450-4478 Ph: (201) 444-6140 | Alima B. Farooki Md Pc 127 Union St Suite 106 Ridgewood NJ 07450-4478 Ph: (201) 444-6140 |
NPI Number | 1184932931 |
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Provider Enumeration Date | 09/15/2010 |
Last Update Date | 10/07/2010 |
Medicare PECOS PAC ID | 0648463141 |
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Medicare Enrollment ID | O20101015001005 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184932931 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 25MA04714700 (New Jersey) | Primary |
Provider Name | Alima B Farooki |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1275748717 PECOS PAC ID: 9234263674 Enrollment ID: I20100820000021 |
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