Malorie Ann Farrell, D.C.
Individual provider Active NPI Chiropractor · Waddington, NY
NPI 1003237009 · NPPES record last updated May 16, 2018
Key facts
- NPI
- 1003237009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 012464 (NY)
- Practice address
- 7 Main St
Waddington, NY 13694 - Phone
- (315) 388-3119
- Fax
- (315) 293-2051
- NPI assigned
- Dec 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7 Main St
Waddington, NY 13694-7715
Phone (315) 276-5217
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140715000664 | NY | Practitioner - Chiropractic | 1456576065 | Practice locations: Waddington, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012464 | NY | MD | Chiropractor |
Networks
- devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
- devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 012464 | NY | Yes |
Addresses
Primary practice location
7 Main St
Waddington, NY 13694
Mailing address
PO Box 362
Waddington, NY 13694-0362
Phone (315) 388-3119
Other practice location 1
1915 Saranac Ave
Lake Placid, NY 12946-1133
Phone (315) 276-5217
Other names
- Dr. Malorie Ann Gardner
Other providers in Waddington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.