Organization
FAN MEDICINE CONSULTANT,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ROSE FIORENZA (CREDENTIALIST)
(718) 986-5394
Entity
Organization
Contact information
Practice address
1200 SOUTH AVE STE 301, STATEN ISLAND, NY 10314-3420
(718) 986-5394
(718) 785-9564
Mailing address
35 LAURIE CT, STATEN ISLAND, NY 10304-2900
(718) 986-5394
(718) 785-9664
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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