Individual
ELIZABETH FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5061
Mailing address
4900 BROAD RD, SYRACUSE, NY 13215-2265
(315) 492-5061
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008408-1
NY
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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