Nicholas Adam Fanok, RPA-C
NPI #1164455564 in Poughkeepsie, New York
Provider Information
- NPI Number
- 1164455564
- Entity Type
- Individual
- Name
- Nicholas Adam Fanok, RPA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- RPA-C
- Enumeration Date
- Jul 9, 2006
- Last Updated
- Sep 10, 2012
Practice Location
- Address
- 1910 SOUTH RD.
- City
- Poughkeepsie
- State
- New York
- ZIP Code
- 12601-6027
- Phone
- (845) 454-0120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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