Individual
CAROL FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15418 119TH AVE, JAMAICA, NY 11434-2048
(917) 662-4224
Mailing address
15418 119TH AVE, JAMAICA, NY 11434-2048
(917) 662-4224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
444612
NY
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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