Individual
MOIRA P FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDN
Contact information
Practice address
48 HOLLYWOOD AVE, SELDEN, NY 11784-3010
(631) 897-7582
Mailing address
48 HOLLYWOOD AVE, SELDEN, NY 11784-3010
(631) 897-7582
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
010223
NY
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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