Individual
JUSTINE MARIE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1080 GARDINER DR, BAY SHORE, NY 11706-6314
(631) 235-2212
Mailing address
1080 GARDINER DR, BAY SHORE, NY 11706-6314
(631) 235-2212
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
09/11/2025
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