Individual
CLARE A FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
403 LAKE AVE, SAINT JAMES, NY 11780-2205
(631) 862-7062
(631) 862-7114
Mailing address
403 LAKE AVE, SAINT JAMES, NY 11780-2205
(631) 862-7062
(631) 862-7114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F334560-1
NY
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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