| Doctor Name: | JAMES MICHAEL FATOLITIS |
| NPI Number: | 1144346149 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | F381221 |
| Business Practice Address: | 161 Ft. Washington Ave 7th Floor Peds Onc New York City, NY - 10032 |
| Business Phone Number: | 2123059770 |
| Business Fax Number: | 2123055848 |
| Mailing Address: | 730 Fort Washington Ave Apt 5m, NEW YORK |
| State: | NY |
| Postal Code: | 100403748 |
| Phone Number: | 2129272029 |
| Fax Number: | 2123428541 |
| NPI Enumeration Date: | 03/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | F381221 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |