Individual
COURTNEY FARRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NP, BSN, RN
Contact information
Practice address
254 W 87TH ST, NEW YORK, NY 10024-2706
(212) 496-6440
Mailing address
254 W 87TH ST, NEW YORK, NY 10024-2706
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
673809
NY
Other
Enumeration date
07/09/2014
Last updated
11/15/2016
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