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Dr. Gault M Farrell, MD
Specialist in Plattsburgh, New York
NPI 1588653661

Gault M Farrell is a Specialist based in Plattsburgh, NY. Gault M Farrell practices in Plattsburgh, NY and has the professional credentials of MD. The NPI Number for Gault M Farrell is 1588653661 and holds a License No. 213607 (New York).

The current practice location address for Gault M Farrell is 450 Margaret St, Plattsburgh, NY and can be reached out via phone at 518-566-2020 and via fax at 518-561-5390.

Location: 450 Margaret St, Plattsburgh, NY, 12901-1755
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588653661
Provider Name
Gault M Farrell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
450 Margaret St, Plattsburgh, NY, 12901-1755
Phone Number
518-566-2020
Fax Number
518-561-5390
Provider Enumeration Date
10/20/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
213607 01 LICENSE
000402108001 01 NY BLUE SHIELD OF NORTHEASTE
424B3 01 NY EMPIRE BLUE CROSS
01433123 05 NY
2136077 01 WC
400638 01 MVP SELECT CARE
107286 01 BC UTICA
institution
Provider Business Practice Location Address Details
Address
450 Margaret St
City
Plattsburgh
State
New York
Zip
12901-1755
Phone Number
518-566-2020
Fax Number
518-561-5390
person
Provider Business Mailing Address Details
Address
450 Margaret St
City
Plattsburgh
State
New York
Zip
12901-1755
Phone Number
518-566-2020
Fax Number
518-561-5390
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
213607 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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