Provider Demographics
NPI:1043082134
Name:FARR, TAMMY (FNP-BC)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:FARR
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 GENESEE ST STE A
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2644
Mailing Address - Country:US
Mailing Address - Phone:315-606-2601
Mailing Address - Fax:315-361-2972
Practice Address - Street 1:301 GENESEE ST STE A
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2644
Practice Address - Country:US
Practice Address - Phone:315-606-2601
Practice Address - Fax:315-361-2972
Is Sole Proprietor?:No
Enumeration Date:2023-10-23
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF352813-01207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine