Doctor Name: | MRS. JENNIFER C FRATELLO |
NPI Number: | 1851668362 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 506799-1 |
Business Practice Address: | 3207 Lower Mountain Rd Sanborn, NY - 141329427 |
Business Phone Number: | 7167312883 |
Business Fax Number: | |
Mailing Address: | 3207 Lower Mountain Rd, SANBORN |
State: | NY |
Postal Code: | 141329427 |
Phone Number: | 7167312883 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2011 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 506799-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |