Individual
DR. PAULINE FANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9 CENTER DR, ROSLYN, NY 11576-1447
(516) 699-7790
(516) 870-5770
Mailing address
PO BOX 13, ROSLYN HEIGHTS, NY 11577-0013
(516) 699-7790
(516) 870-5770
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
230218
NY
2080P0201X
Pediatric Allergy/Immunology Physician
230218
NY
2080P0214X
Pediatric Pulmonology Physician
230218
NY
Other
Enumeration date
07/11/2007
Last updated
02/13/2024
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