MR. Joseph S. Fanelli, R-PA-C (PHYSICIAN AS
NPI #1184735342 in Great Neck, New York
Provider Information
- NPI Number
- 1184735342
- Entity Type
- Individual
- Name
- MR. Joseph S. Fanelli, R-PA-C (PHYSICIAN AS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- R-PA-C (PHYSICIAN AS
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Nov 6, 2009
Practice Location
- Address
- 192 EAST SHORE RD
- City
- Great Neck
- State
- New York
- ZIP Code
- 11023
- Phone
- (516) 487-4500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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