Individual
BARBARA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
333 BROADWAY, AMITYVILLE, NY 11701-2719
(631) 789-2020
Mailing address
333 BROADWAY, AMITYVILLE, NY 11701-2719
(631) 789-2020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F304740
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F304740
LICENSE
NY
Enumeration date
09/19/2007
Last updated
11/01/2011
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