Fanelli, Donna J.C.
Fanelli, Donna J.C. is an sole proprietor health care provider with primary practice located at 120 Park Ave Lower Level C, New York NY 10017-5577. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fanelli, Donna J.C. can be contacted via phone (646) 324-9461.Contact Information
Primary practice address
120 Park Ave Lower Level C
New York NY 10017-5577
Phone: (646) 324-9461
Fax: (646) 324-1020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 26NN06605500 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | F430118-1 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NN06605500 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | F303208-1 | New York |
Profile Details
| NPI number | 1750362679 |
|---|---|
| LBN Legal business name | Fanelli, Donna J.C. |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Dec 2nd, 2019 - about 5 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 | 1750362679 | NPPES |
| New Jersey | Other | 3598174 | OXFORD |
| New Jersey | Other | 2K9125 | OXFORD |
| New Jersey | Other | 286989 | OXFORD |
| New Jersey | MEDICAID | 0067199 | OXFORD |
| New Jersey | Other | 123 | OXFORD |
| New Jersey | Other | 2517320 | OXFORD |
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