Fanelli, Suzanne Nicole

Fanelli, Suzanne Nicole is an sole proprietor health care provider with primary practice located at 18 Swan Dr , Massapequa NY 11758-7929. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fanelli, Suzanne Nicole can be contacted via phone (516) 308-4955.

Contact Information

Primary practice address
18 Swan Dr Massapequa NY 11758-7929
Phone: (516) 308-4955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010179 New York

Profile Details

NPI number 1588712699
LBN Legal business name Fanelli, Suzanne Nicole
Credentials RPA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jan 3rd, 2012 - about 13 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.

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