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Individual

NICHOLAS ROY DAVID FARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
315732
NY
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
315732
NY
2080P0207X
Pediatric Hematology & Oncology Physician
35.135759
OH

Other

Enumeration date
04/18/2016
Last updated
07/17/2023
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