Individual
DR. ROBERT M FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
56 45 MAIN STREET, W-LL300, FLUSHING, NY 11355-5045
(718) 353-3710
(718) 463-0400
Mailing address
56 45 MAIN STREET, W-LL300, FLUSHING, NY 11355-5045
(718) 353-3710
(718) 463-0400
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
104845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00272739
—
NY
Enumeration date
07/14/2005
Last updated
07/07/2015
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