Provider Demographics
NPI:1730613928
Name:FARRELLY, LINDSEY B (MSW)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:B
Last Name:FARRELLY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2402 KINGS WAY
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-1547
Mailing Address - Country:US
Mailing Address - Phone:845-641-8740
Mailing Address - Fax:
Practice Address - Street 1:2402 KINGS WAY
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-1547
Practice Address - Country:US
Practice Address - Phone:845-641-8740
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist