Individual
MRS. BRIE FANTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
160 N MIDLAND AVE, NYACK, NY 10960-1912
(845) 348-8507
(845) 348-6708
Mailing address
206 COVINGTON GREEN LN, PATTERSON, NY 12563-2413
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
016196-1
NY
Other
Enumeration date
03/16/2007
Last updated
08/25/2020
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