Individual
DR. DAVID J FIORELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-1213
(631) 444-1535
Mailing address
HSC T12 RM 080, STONY BROOK, NY 11794-8122
(631) 444-1213
(631) 444-1535
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
29194
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116754
PTAN
AZ
05
—
2482219
—
OH
01
—
252328
HIP
NY
05
—
3093556
—
NY
01
—
7930204
AETNA PPO
NY
Enumeration date
04/17/2006
Last updated
08/15/2014
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