Fanelli, Christine Ann
Fanelli, Christine Ann is an individual health care provider with primary practice located at 15 Park Ave , Bay Shore NY 11706-7381. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fanelli, Christine Ann can be contacted via phone (631) 581-4400.Contact Information
Primary practice address
15 Park Ave
Bay Shore NY 11706-7381
Phone: (631) 581-4400
Fax: (631) 581-2564
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F333278 | New York |
Profile Details
| NPI number | 1689632622 |
|---|---|
| LBN Legal business name | Fanelli, Christine Ann |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Jun 18th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689632622 | NPPES |
| New York | MEDICAID | 02167655 |
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