Individual
MS. SUSANNE M FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
150 55TH ST, DEPARTMENT OF SURGERY, BROOKLYN, NY 11220-2559
(718) 630-7351
Mailing address
150 55TH STREET, LUTHERAN MEDICAL CENTER, BROOKLYN, NY 11220
(718) 630-7351
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
003485
NY
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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