Farrell, Robert Alfred

Farrell, Robert Alfred is an sole proprietor health care provider with primary practice located at 10 Grace Ave Suite 6, Great Neck NY 11021-2423. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Farrell, Robert Alfred can be contacted via phone (516) 829-5982.

Contact Information

Primary practice address
10 Grace Ave Suite 6 Great Neck NY 11021-2423
Phone: (516) 829-5982
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 010188 New York

Profile Details

NPI number 1609917608
LBN Legal business name Farrell, Robert Alfred
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2007
Last updated Jul 9th, 2007 - about 18 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 1609917608 NPPES
New York MEDICAID 01350141

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