Provider Demographics
NPI:1902799018
Name:SAFDAR, FARAN
Entity type:Individual
Prefix:
First Name:FARAN
Middle Name:
Last Name:SAFDAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2242 65TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-4058
Mailing Address - Country:US
Mailing Address - Phone:347-312-6458
Mailing Address - Fax:347-312-3196
Practice Address - Street 1:2242 65TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4058
Practice Address - Country:US
Practice Address - Phone:347-312-6458
Practice Address - Fax:347-312-3196
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy