MRS. Suzanne Nicole Fanelli, RPA-C
NPI #1588712699 in Massapequa, New York
Provider Information
- NPI Number
- 1588712699
- Entity Type
- Individual
- Name
- MRS. Suzanne Nicole Fanelli, RPA-C
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Credential
- RPA-C
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Jan 3, 2012
Practice Location
- Address
- 18 SWAN DR
- City
- Massapequa
- State
- New York
- ZIP Code
- 11758-7929
- Phone
- (516) 308-4955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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