Provider Demographics
NPI:1699708107
Name:FAGHIHI, JANET M (DPM)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:M
Last Name:FAGHIHI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
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Mailing Address - Street 1:55 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-1601
Mailing Address - Country:US
Mailing Address - Phone:914-478-8120
Mailing Address - Fax:914-478-1818
Practice Address - Street 1:55 MAIN ST
Practice Address - Street 2:
Practice Address - City:HASTINGS ON HUDSON
Practice Address - State:NY
Practice Address - Zip Code:10706-1601
Practice Address - Country:US
Practice Address - Phone:914-478-8120
Practice Address - Fax:914-478-1818
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYN005396213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02012751Medicaid
NY714351OtherMVP
NY89 999 67OtherGHI
NYP-11160533OtherMULTIPLAN
NYP1015939OtherOXFORD
NYPJ2391OtherBLUECROSS BLUESHIELD
NYP05396-8BOtherWORKER'S COMPENSATION
NY89 999 67OtherGHI
NY89 999 67OtherGHI
NYU67386Medicare UPIN