MARK FARRELL PA NPI 1437179124

NPI Information

NPI: 1437179124
Provider Name: MARK FARRELL, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: PREMIER MEDICAL GROUP OF THE HUDSON VALLEY PC

PECOS Registration: Yes

Address:
1 WEBSTER AVE
SUITE 301
POUGHKEEPSIE, NY
ZIP 12601
Phone: (845) 790-6100
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Mark Farrell, PA is a medical physician assistant in Poughkeepsie, NY with 35 years of experience. Mark Farrell, PA NPI is 1437179124. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1989

The provider's business location address is:

1 WEBSTER AVE
SUITE 301
POUGHKEEPSIE, NY
ZIP 12601-172
Phone: (845) 790-6100
Fax: (845) 345-9966

The NPI 1437179124 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 4/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	003835	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02419652	MEDICAID	NEW YORK
2	A400093781	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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