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1083756738
JOAN C FARO
PORT JEFFERSON, NY
NPI
1083756738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NY 161131-1)
Enumeration Date
2007-02-12
Last Update Date
2007-07-08
Business Address
-- JOAN C FARO M.D.
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-476-2866
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Mailing Address
-- JOAN C FARO M.D.
20 BRANDYWINE DR
SETAUKET, NY 11733-1430
Phone number: 631-987-3210
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