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Individual

MICHAEL A FARRELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
161 RIVERSIDE DR, SUITE 109, BINGHAMTON, NY 13905-4176
(607) 770-7074
(607) 770-3452
Mailing address
161 RIVERSIDE DR, SUITE 109, BINGHAMTON, NY 13905-4176
(607) 770-7074
(607) 770-3452

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
175144
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01244040
NY
Enumeration date
11/30/2006
Last updated
07/08/2007
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