FARAH DIVERS

ROSEDALE, NY
NPI1376057646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F342209-1)
Enumeration Date2017-11-25
Last Update Date2017-11-25
Business Address
FARAH DIVERS
25953 148TH RD
ROSEDALE, NY 11422-2903
Phone number: 917-657-6511
Mailing Address
FARAH DIVERS
25953 148TH RD
ROSEDALE, NY 11422-2903
Phone number:
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