Jennifer Fidelo in Smithtown - Physician Assistant
Jennifer Fidelo - NPI 1508077058
Jennifer Fidelo is a Physician Assistant in Smithtown, New York. Jennifer Fidelo practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jennifer Fidelo is 1508077058. The last update date is 2007-07-08.
Jennifer Fidelo's current location address is 994 W Jericho Tpke, Smithtown, New York. You can contact this provider via phone number 6314745800 and fax number 6318649201. The mailing address for Jennifer Fidelo is 994 W Jericho Tpke, Smithtown, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Fidelo |
|---|---|
| Address | 994 W Jericho Tpke, Smithtown, New York |
| Phone Number | 6314745800 |
| Fax Number | 6318649201 |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1508077058 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 994 W Jericho Tpke |
|---|---|
| City | Smithtown |
| State | New York (NY) |
| Post Code | 117873235 |
| Phone Number | 6314745800 |
| Fax Number | 6318649201 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 400712 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jennifer Fidelo by the Centers for Medicare & Medicaid Services?
The Jennifer Fidelo has been assigned the NPI (National Provider Identifier) 1508077058 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Jennifer Fidelo is geographically located?
The Jennifer Fidelo is physically situated at the following location: 994 W Jericho Tpke, Smithtown, NY, 117873235.
What is the Jennifer Fidelo's area of specialization and corresponding taxonomy classification?
The Jennifer Fidelo's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
On what date did the Jennifer Fidelo receive the assignment of its 1508077058 from the Centers for Medicare & Medicaid Services?
The Jennifer Fidelo was issued its 1508077058 by the Centers for Medicare & Medicaid Services on 2007-05-25.
When was the information related to Jennifer Fidelo most recently updated or refreshed?
The details pertaining to the Jennifer Fidelo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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