Individual
THOMAS FACELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
145054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002459
GHI
—
01
—
0095911
AETNA HMO
—
05
—
01015883
—
NY
01
—
08647
GHI HMO
—
01
—
089D611
EMPIRE BLUE CROSS
—
01
—
0D3802
HEALTHNET NE
—
01
—
145054
HIP OF NY
—
01
—
4096594
AETNA TRADITIONAL
—
01
—
RS363
OXFORD
—
Enumeration date
09/15/2006
Last updated
11/07/2013
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