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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK A PROFETTO, FNP

Active

MARK A PROFETTO, FNP is a Family Nurse Practitioner healthcare provider located in FAYETTEVILLE, New York. NPI 1487852851 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FAYETTEVILLE, NY

Registration Details

NPI Number
1487852851
Provider Type
Individual
Gender
Male
NPI Issued
Jul 6, 2007 (18.925297008451 yrs)
Last Updated
Dec 2, 2011
License
33 335305 (NY)

Practice Information

Address
4103 MEDICAL CENTER DR
FAYETTEVILLE, NY, 130666600
Browse NY providers · Browse ZIP 13066
Phone
3156377800
Fax
3156377808
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in FAYETTEVILLE, NY

Name Credential NPI
AUDREY A MATHIS NP 1740283829
CYNTHIA J TREMBLAY NP 1750387130
SUSAN M RANDALL-MANTELLA RNNP 1457314650
ELLEN E POWERS NP 1992756209
MARY OOT FNP 1023048048
THERESA M. SETTER APRN-BC 1114135209
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.