Most Relevant Information
Provider Data
| NPI Number: | 1003313263 |
| Provider Name: | FARIAL ISLAM MHC-LP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | P128019 |
Most Important Dates
| Enumeration Date: | 04/12/2018 |
| Last Updated: | 09/13/2024 |
Provider Practice Location
368 VETERANS MEMORIAL HWY STE 3
COMMACK
NY
117254322
Practice Location Phone/Fax
| Phone: | 6315330315 |
| Fax: |
Provider Mailing Location
368 VETERANS MEMORIAL HWY STE 3
COMMACK
NY
117254322
Provider Mailing Phone/Fax
| Phone: | 6315330315 |
| Fax: |