Individual
MS. JANE A FAIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
39 POMPEY AVE, STATEN ISLAND, NY 10312-2050
(516) 655-9799
Mailing address
39 POMPEY AVE, STATEN ISLAND, NY 10312-2050
(516) 655-9799
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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