Individual
ALLEY NICOLE O'FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Mailing address
45 READE PL, POUGHKEEPSIE, NY 12601-3947
(845) 454-8500
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/18/2020
Last updated
09/18/2020
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