Individual
CHRISTINE FAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
240 NORTH AVE, PENN YAN, NY 14527-1052
(315) 694-7714
(315) 694-7714
Mailing address
240 NORTH AVE, PENN YAN, NY 14527-1052
(315) 694-7714
(315) 694-7714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
786445-01
NY
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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