Individual
MARY ANN FRAGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANPC
Contact information
Practice address
235 N BELLE MEAD RD, E SETAUKET, NY 11733-3456
(631) 751-3000
(631) 675-2001
Mailing address
235 N BELLE MEAD RD, E SETAUKET, NY 11733-3456
(631) 751-3000
(631) 675-2001
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F303023
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02242859
—
NY
Enumeration date
06/21/2005
Last updated
03/24/2014
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