MEDICARE: THOMAS A FARLEY M.D.

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
1	208000000X	Pediatrics Physician	243936	NY

General Provider Information

NPI Number	:	1346561685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS A FARLEY M.D.

Provider Business Mailing Address
First Line	:	125 WORTH ST
Second Line	:	RM 331
City	:	NEW YORK
State	:	NY
Zip	:	10013-4006
Country	:	US
Telephone Number	:	212-788-5250
Fax Number	:

Provider Business Practice Location Address
First Line	:	125 WORTH ST
Second Line	:	RM 331
City	:	NEW YORK
State	:	NY
Zip	:	10013-4006
Country	:	US
Telephone Number	:	212-788-5250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2010
Last Update Date	:	06/22/2010

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