Organization Name: | PRIOLO HEALTH ASSOCIATES, LLC |
NPI Number: | 1154676286 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANCES PRIOLO (PRESIDENT) |
Mailing Address: | 5 Travelers Way Bayville |
State: | NJ US |
Postal Code: | 087211510 |
Phone Number: | 8452357678 |
Fax Number: | |
NPI Enumeration Date: | 07/15/2012 |
NPI Last Update Date: | 07/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00198400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |