# JANINE FIORELLO NP-PSYCHIATRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164091393
- **Authorized official:** JANINE FIORELLO (OWNER)
- **Authorized official phone:** (516) 507-9284

## Contact information

- **Practice address:** 308 MAIN ST, FARMINGDALE, NY 11735-3585
- **Practice address phone:** (516) 507-9284
- **Mailing address:** 4 JEFFERSON RD, FARMINGDALE, NY 11735-2206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2021
- **Last updated:** 06/22/2021