MARK FARRELL


Address: 1 Webster Ave, Suite 301, Poughkeepsie, NY 12601-1172
Phone: 8457906100

MARK FARRELL (NPI# 1437179124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437179124
Entity Type Individual
Full Name MARK FARRELL
Credential PA
Practice Address 1 Webster Ave
Suite 301
Poughkeepsie
NY 12601-1172
Mailing Address 243 North Rd
Suite 304
Poughkeepsie
NY 12601-1172
Practice Telephone 8457906100
Practice Fax Number 8453459966
Mailing Telephone 8454517251
Mailing Fax Number 8454517757
Enumeration Date 2006-07-19
Last Update Date 2015-04-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
003835 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02419652 05

Office Location

Street Address 1 WEBSTER AVE
SUITE 301
City POUGHKEEPSIE
State NY
Zip Code 12601-1172

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972500205 Andrew Jon Chernack Family Medicine 1 Webster Ave, Suite 301, Poughkeepsie, NY 12601-1361 2005-07-01
1255757928 University Orthopaedics,pc Orthopaedic Surgery 1 Webster Ave, Suite 502, Poughkeepsie, NY 12601-1361 2014-03-05
1235552456 Megan Wright Nurse Practitioner 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 2014-01-23
1255612990 Carolynn Lavigne Physical Therapy Assistant 1 Webster Ave, Suite 401, Poughkeepsie, NY 12601-1361 2011-09-08
1811294465 William J. Senisi, M.d. P.C. Ophthalmology 1 Webster Ave, Suite 306, Poughkeepsie, NY 12601-1361 2011-02-17
1417289307 Mid Hudson Neurosurgical Specialist, PC Psychiatry & Neurology 1 Webster Ave, Suite 307, Poughkeepsie, NY 12601-1361 2010-02-03
1720314347 Maren Ryan Degroat Massage Therapist 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 2009-11-02
1205007549 Gingrich Oncology Pllc Internal Medicine 1 Webster Ave, Poughkeepsie, NY 12601-1361 2008-03-14
1205011749 Lorraine Gogreve Occupational Therapist 1 Webster Ave, Suite 400, Poughkeepsie, NY 12601-1361 2008-01-03
1578744280 Arnold Goran, Md Pllc Specialist 1 Webster Ave, Suite 300, Poughkeepsie, NY 12601-1361 2007-11-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194348425 Hudson Valley Radiologists, PC Radiology 57 Kingwood Park, Poughkeepsie, NY 12601 2020-05-21
1063049088 Jaquellah Taylor Student in an Organized Health Care Education/Training Program Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12601 2020-03-27
1053957050 Jasmine Syin-lan Miller Student in an Organized Health Care Education/Training Program 3399 North Road, Marist College Msc 12617, Poughkeepsie, NY 12601 2019-11-25
1144864224 Kim Beverly Technician 16 Tamidan Road, Poughkeepsle, NY 12601 2019-11-01
1851852768 Marwa H Abdalla Student in an Organized Health Care Education/Training Program Vassar Brother Medical Center, 45 Reade Place, Poughkeepsie, NY 12601 2019-03-26
1619459047 Victoria Bozydaj Occupational Therapy Assistant 50 Rinaldi Boulevard Apt 7r, Poughkeepsie, NY 12601 2018-09-01
1821589953 Avo Gregory Serafino Physician Assistant 228 Donnelly, Poughkeepsie, NY 12601 2018-05-24
1649771486 Raewyn Kalisha Clayton Registered Nurse 31 Forbus Street Apt C2, Poughkeepsie, NY 12601 2018-02-27
1780108761 Ronica Dorothy White Licensed Practical Nurse 7c Muldowney Circle, Poughkeepsie, NY 12601 2017-08-01
1336662048 Ashley Elizabeth Travers Licensed Practical Nurse 100 Innis Ave, Poughkeepsie, NY 12601 2017-07-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679962690 Adam Moscicki Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2015-01-14
1457762460 Westchester Medical Regional Physician Services, PC Physician Assistant 241 North Rd, Poughkeepsie, NY 12601-1154 2014-05-13
1225313430 Brandon J Ballister Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2011-10-19
1407134380 Nicole Pasheek Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2011-07-27
1154619831 Jessica Beth Wayman Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2011-07-15
1194017772 Jonathan Thomas Humphreys Physician Assistant 45 Reade Pl, Poughkeepsie, NY 12601-3947 2011-05-13
1932434412 Alyssa F Ludwin Physician Assistant 21 Reade Pl Ste 3200, Poughkeepsie, NY 12601-3944 2009-10-16
1619202397 Rachel Snider Physician Assistant 19 Baker Ave, Poughkeepsie, NY 12601-1359 2009-10-13
1346492238 Vicenta Maria Montgomery I Physician Assistant 1 Columbia St, Dra Imaging, PC, Poughkeepsie, NY 12601-3923 2008-10-22
1770782997 Paul Thomas Wilson Physician Assistant 230 North Rd, Lexington Ctr for Recovery-mmtp, Poughkeepsie, NY 12601-1328 2007-07-17
Find all providers in POUGHKEEPSIE

Competitor

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City POUGHKEEPSIE
Zip Code 12601

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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