Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 243388 | NY |
NPI | 1104096536 |
---|---|
Provider Name | Dr. Annette Fiorillo |
First Address | Oceanside, NY 11572-1416 |
Second Address | Oceanside, NY 11572-2195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/02/2008 |
Last Update Date | 26/07/2011 |