Fidelo, Jennifer

Fidelo, Jennifer is an sole proprietor health care provider with primary practice located at 994 W Jericho Tpke Suite 202, Smithtown NY 11787-3235. 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. Fidelo, Jennifer can be contacted via phone (631) 474-5800.

Contact Information

Primary practice address
994 W Jericho Tpke Suite 202 Smithtown NY 11787-3235
Phone: (631) 474-5800
Fax: (631) 864-9201
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 400712 New York

Profile Details

NPI number 1508077058
LBN Legal business name Fidelo, Jennifer
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2007
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers