Provider Demographics
NPI:1295949121
Name:PHARAON, NORA ALARIFI (EDD)
Entity type:Individual
Prefix:DR
First Name:NORA
Middle Name:ALARIFI
Last Name:PHARAON
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 EUCLID RD
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-6435
Mailing Address - Country:US
Mailing Address - Phone:201-486-3987
Mailing Address - Fax:201-886-8460
Practice Address - Street 1:17 AMES AVE
Practice Address - Street 2:PHARAON CONSULTING GROUP, INC.
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-1701
Practice Address - Country:US
Practice Address - Phone:212-563-2623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0127971103TC1900X
NJ35SI00429800103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02552858Medicaid
NY176062POtherHIP