Individual
GREGORY FRANCIS STATHIS FARRAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(212) 263-7300
Mailing address
6420 80TH ST, MIDDLE VILLAGE, NY 11379-2310
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F431912-01
NY
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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