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
ZIP Code
11023
Phone
(516) 487-4500

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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