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Contact Information

FARHAD ANOOSH, MD
55 MEDFORD AVE
SUITE D
PATCHOGUE, NY11772-1229
 Phone: 631-687-5400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FARHAD ANOOSH · (Male)

NPI Number 1558501668
Status Active
Credentials MD
Entity Individual
Enumeration date 03/02/2009
Last updated 10/22/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A 113637
  • CT License # 046599
  • NY License # 256590
  • PA License # MD436039
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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