Individual
MS. EMILY ROSE FARINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
63 SARAH DR, LAKE GROVE, NY 11755-2219
(631) 561-5444
Mailing address
63 SARAH DR, LAKE GROVE, NY 11755-2219
(631) 561-5444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
030553
NY
Other
Enumeration date
08/09/2023
Last updated
09/11/2023
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