NICHOLAS ADAM FANOK

POUGHKEEPSIE, NY
NPI1164455564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  010226-1)
Enumeration Date2006-07-09
Last Update Date2012-09-10
Business Address
-- NICHOLAS ADAM FANOK RPA-C
1910 SOUTH RD.
POUGHKEEPSIE, NY 12601-6027
Phone number: 845-454-0120
Mailing Address
-- NICHOLAS ADAM FANOK RPA-C
1910 SOUTH RD.
POUGHKEEPSIE, NY 12601-6027
Phone number: 845-454-0120
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