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NPI Code Detail

MEDICARE: ANGELICA FARRISI

MEDICARE:   ANGELICA  FARRISI
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
1104100000XSocial WorkerSW142003PA

General Provider Information

NPI Number : 1740009679
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELICA FARRISI
Provider Business Mailing Address
First Line : 2122 CLEVELAND AVE
Second Line :
City : READING
State : PA
Zip : 19609-2006
Country : US
Telephone Number : 484-529-9625
Fax Number :
Provider Business Practice Location Address
First Line : 2122 CLEVELAND AVE
Second Line :
City : READING
State : PA
Zip : 19609-2006
Country : US
Telephone Number : 484-529-9625
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2024
Last Update Date : 10/08/2024

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Directions to “ ANGELICA FARRISI ” Practice Location

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