SUZANNE NICOLE FANELLI

MASSAPEQUA, NY
NPI1588712699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  010179)
Enumeration Date2007-01-08
Last Update Date2012-01-03
Business Address
Mrs. SUZANNE NICOLE FANELLI RPA-C
18 SWAN DR
MASSAPEQUA, NY 11758-7929
Phone number: 516-308-4955
Mailing Address
Mrs. SUZANNE NICOLE FANELLI RPA-C
18 SWAN DR
MASSAPEQUA, NY 11758-7929
Phone number: 516-308-4955