Farrell-Rogers, Gina A

Farrell-Rogers, Gina A is an sole proprietor health care provider with primary practice located at 725 Harrison St , Syracuse NY 13210-2395. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Farrell-Rogers, Gina A can be contacted via phone (315) 435-4145.

Contact Information

Primary practice address
725 Harrison St Syracuse NY 13210-2395
Fax: (315) 435-4859
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / School 163WS0200X 510229-1 New York

Profile Details

NPI number 1083991418
LBN Legal business name Farrell-Rogers, Gina A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2011
Last updated Nov 14th, 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 1083991418 NPPES
New York MEDICAID 163W5O200X

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