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Nicholas A. Farrara

Speech-Language Pathologist, in Jamaica, NY. Individual provider (NPI-1).

NPI number1457764482
StatusActive
Last updated in NPPESDec 12, 2016

Details

NPI
1457764482
Entity type
Individual (NPI-1)
Name
Nicholas A. Farrara
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 6, 2014
Last updated
Dec 12, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,024793NYYes

Practice location

142 Linden Blvd
Jamaica, NY 11436-2104

Phone 718-558-2060

Mailing address

315 Claflin Blvd
Franklin Square, NY 11010-3433

Phone 718-558-2036

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