Fiordaliso, Nina

Fiordaliso, Nina is an sole proprietor health care provider with primary practice located at 4802 10Th Avenue , Brooklyn NY 11219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Emergency Medical Services. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fiordaliso, Nina can be contacted via phone (718) 283-8773.

Contact Information

Primary practice address
4802 10Th Avenue Brooklyn NY 11219
Phone: (718) 283-8773
Fax: (718) 283-8796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 007483 New York
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 007483 New York

Profile Details

NPI number 1669542593
LBN Legal business name Fiordaliso, Nina
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Jul 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669542593 NPPES
New York MEDICAID 02622526

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