Individual
MARY E FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 CONKLIN RD, CONKLIN, NY 13748-1136
(607) 775-9119
Mailing address
PO BOX 200, CONKLIN, NY 13748-0200
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
454869
NY
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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