Individual
HOLLY MICHELLE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
285 W MAIN ST STE 101, SAYVILLE, NY 11782-2540
(631) 942-6125
Mailing address
285 W MAIN ST STE 101, SAYVILLE, NY 11782-2540
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86114286
NY
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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