Provider Demographics
NPI:1568725554
Name:FARRELL, PATRICIA (MS ED)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:FARRELL
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:335 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11211-4601
Mailing Address - Country:US
Mailing Address - Phone:917-204-6640
Mailing Address - Fax:
Practice Address - Street 1:335 S 5TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11211-4601
Practice Address - Country:US
Practice Address - Phone:917-204-6640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-25
Last Update Date:2012-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist