| Samir. A. Farhat | |
|
421 77th St Ground Floor Brooklyn NY 11209-3205 | |
| (718) 781-4965 | |
| Not Available |
| Full Name | Samir. A. Farhat |
|---|---|
| Speciality | Internal Medicine |
| Location | 421 77th St, Brooklyn, New York |
| Authorized Official Name and Position | Samir A. Farhat (ATTENDING PHYSICIAN) |
| Authorized Official Contact | 7187814965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samir. A. Farhat 402 85th St Apt 2a Brooklyn NY 11209-4730 Ph: (718) 781-4965 | Samir. A. Farhat 421 77th St Ground Floor Brooklyn NY 11209-3205 Ph: (718) 781-4965 |
| NPI Number | 1790031151 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 05/07/2021 |
| Medicare PECOS PAC ID | 8123264736 |
|---|---|
| Medicare Enrollment ID | O20130425000615 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790031151 | NPI | - | NPPES |
| 01921360 | Medicaid | NY |
| Provider Name | Samir A Farhat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003878372 PECOS PAC ID: 9739169970 Enrollment ID: I20040720001236 |
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