Individual
JORDAN FARRAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 EATON ST, MORRISVILLE, NY 13408-7705
(315) 684-6297
Mailing address
80 EATON ST, MORRISVILLE, NY 13408-7705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002669-01
NY
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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