Provider Demographics
NPI:1285921734
Name:ANWAR, FARIHAH (MD)
Entity type:Individual
Prefix:
First Name:FARIHAH
Middle Name:
Last Name:ANWAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 HEMPSTEAD TPKE
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-5704
Mailing Address - Country:US
Mailing Address - Phone:516-210-8200
Mailing Address - Fax:516-210-8240
Practice Address - Street 1:4300 HEMPSTEAD TPKE
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-5704
Practice Address - Country:US
Practice Address - Phone:516-210-8200
Practice Address - Fax:516-210-8240
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY268031207WX0009X
VA0101260599207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist