Individual
FABIO COLLARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
1900 UNION VALLEY RD STE 305, HEWITT, NJ 07421-3024
(201) 639-6620
(201) 972-8980
Mailing address
30 HATFIELD LN STE 201, GOSHEN, NY 10924-6768
(845) 294-3446
(845) 294-4171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008143
NY
363A00000X
Physician Assistant
25MP00987800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02280486
—
NY
Enumeration date
06/21/2006
Last updated
01/15/2026
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