Individual
DR. JEROME THOMAS FARRELL II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
301 MAIN ST, JOHNSON CITY, NY 13790-2089
(607) 729-4539
(607) 797-7926
Mailing address
301 MAIN ST, JOHNSON CITY, NY 13790-2089
(607) 729-4539
(607) 797-7926
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
36856
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00852855
—
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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