Individual
ANTONIA M FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 BEACH 56TH PL, ARVERNE, NY 11692-1937
(347) 998-3604
Mailing address
105 BEACH 56TH PL APT 302, ARVERNE, NY 11692-1925
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
275357
NY
Other
Enumeration date
04/10/2018
Last updated
04/10/2018
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