Individual
MARY FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3456
Mailing address
PO BOX 193, OTEGO, NY 13825-0193
(607) 435-6577
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F401843-1
NY
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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