Individual
MRS. MICHELLE LYNN DUDRAK-FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9757 ROUND BARN RD, HOLLAND PATENT, NY 13354-4342
(315) 725-7901
Mailing address
3 PARKSIDE CT, UTICA, NY 13501-5643
(315) 724-4286
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
005672-1
NY
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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