Individual
MICHAEL J FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4417 VESTAL PARKWAY EAST, SUITE 300, VESTAL, NY 13850-3556
(607) 240-2885
(607) 240-2886
Mailing address
4417 VESTAL PKWY E, SUITE 300, VESTAL, NY 13850-3556
(607) 240-2885
(607) 240-2886
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
203308
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01668299
—
NY
Enumeration date
08/24/2005
Last updated
11/29/2012
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