MICHAEL FANO

JAMAICA, NY
NPI1740394204
Professional NameMICHAEL FANO
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: NY  332757)
Enumeration Date2006-08-19
Last Update Date2012-12-05
Business Address
-- MICHAEL FANO FNP
105 - 04 SUTPHIN BLVD
JAMAICA, NY 11432
Phone number: 855-681-8700
Mailing Address
-- MICHAEL FANO FNP
105 - 04 SUTPHIN BLVD
JAMAICA, NY 11435
Phone number: 718-725-5000