Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 001068 | NY |
NPI | 1073699666 |
---|---|
Provider Name | Ms. Virginia Farrell |
First Address | Brooklyn, NY 11231-3403 |
Second Address | Brooklyn, NY 11231-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 24/09/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02335591 | (05) | NY |