Individual
MS. LORETTA GILLMAN FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MA, NPP
Contact information
Practice address
668 ALLERTON AVENUE, BRONX, NY 10467
(718) 519-5486
(718) 652-7085
Mailing address
668 ALLERTON AVENUE, BRONX, NY 10467
(718) 519-5486
(718) 652-7085
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F400463-1
NY
Other
Enumeration date
02/25/2013
Last updated
04/04/2013
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