Farrell, Dina

Farrell, Dina is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Farrell, Dina can be contacted via phone (607) 763-6412.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790
Phone: (607) 763-6412
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2033071 New York

Profile Details

NPI number 1841268166
LBN Legal business name Farrell, Dina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Nov 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841268166 NPPES
New York MEDICAID 01665618

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