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NPI Code Detail

MEDICARE: ANDREW SCOTT FARRAGO D.C.

MEDICARE:   ANDREW SCOTT FARRAGO  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorX3908NY

General Provider Information

NPI Number : 1639258825
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW SCOTT FARRAGO D.C.
Provider Business Mailing Address
First Line : 105 MEDFORD AVE
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-1201
Country : US
Telephone Number : 631-289-6767
Fax Number : 631-289-6790
Provider Business Practice Location Address
First Line : 105 MEDFORD AVE
Second Line :
City : PATCHOGUE
State : NY
Zip : 11772-1223
Country : US
Telephone Number : 631-289-6767
Fax Number : 631-289-6790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 10/16/2024

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Directions to “ ANDREW SCOTT FARRAGO D.C.” Practice Location

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