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Individual

JOHN FARRELL LINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7680
Mailing address
227 MADISON ST, 12TH FL, NEW YORK, NY 10002-7537
(212) 238-7614

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD424621
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10123596200001
PA
01
271974
NYS LICENSE
NY
01
MD424621
LICENSE NUMBER
PA
Enumeration date
05/18/2006
Last updated
12/10/2013
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