Individual
DANIELLE FARNSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 RIVER CHASE, RENSSELAER, NY 12144-8436
(518) 256-7507
Mailing address
PO BOX 43, EAST GREENBUSH, NY 12061-0043
(518) 256-7507
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
319158
NY
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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