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Contact Information

GAIL FRASER FARMER
180 GRANNY RD
FARMINGVILLE, NY11738-2130
 Phone: 631-698-3258
 Fax: 631-698-3259
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Legal Medicine

173000000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GAIL FRASER FARMER · (Female)

NPI Number 1841223997
Status Active
Credentials
Entity Individual
Enumeration date 07/09/2006
Last updated 02/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 216533
  • NY Medicaid 02207252
Hospital affiliation(s)
  • JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON - (Acute Care)
    75 NORTH COUNTRY ROAD
    PORT JEFFERSON, NY 11777
  • ST CHARLES HOSPITAL - (Acute Care)
    200 BELLE TERRE ROAD
    PORT JEFFERSON, NY 11777
  • UNIVERSITY HOSPITAL ( STONY BROOK ) - (Acute Care)
    HEALTH SCIENCES CENTER SUNY
    STONY BROOK, NY 11794
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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