Individual
MRS. JOANNE ELIZABETH FARIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
207 HALLOCK RD, STONY BROOK, NY 11790-3033
(631) 689-8920
Mailing address
691 HORSEBLOCK RD, BROOKHAVEN, NY 11719-9594
(631) 286-1804
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
108415-1
NY
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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