Fragola, Mary Ann

Fragola, Mary Ann is an individual health care provider with primary practice located at 235 N Belle Mead Rd , E Setauket NY 11733-3456. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fragola, Mary Ann can be contacted via phone (631) 751-3000.

Contact Information

Primary practice address
235 N Belle Mead Rd E Setauket NY 11733-3456
Phone: (631) 751-3000
Fax: (631) 675-2001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X F303023 New York

Profile Details

NPI number 1508862079
LBN Legal business name Fragola, Mary Ann
Credentials ANPC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 24th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508862079 NPPES
New York MEDICAID 02242859

Popular Providers