Individual
MRS. DOROTHY FANARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
89 GLENGARIFF RD, MASSAPEQUA PARK, NY 11762-3022
(516) 319-4364
Mailing address
89 GLENGARIFF RD, MASSAPEQUA PARK, NY 11762-3022
(516) 319-4364
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
345559
NY
Other
Enumeration date
02/14/2020
Last updated
02/14/2020
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