Individual
RALPH F FABIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
575 BAYPORT AVE, BAYPORT, NY 11705-1418
(631) 487-1728
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311316
NY
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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