Individual
DR. MICHAEL D FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
44 PEARL ST W, GELDER MEDICAL BUILDING, SIDNEY, NY 13838-1325
(607) 563-8167
Mailing address
PO BOX 436, SIDNEY, NY 13838-0436
(607) 563-8167
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N004551
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871777441
MEDICARE DME
NY
Enumeration date
02/15/2007
Last updated
02/19/2010
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