Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER FIDELO, NP
Active Sole ProprietorJENNIFER FIDELO, NP is a Physician Assistant healthcare provider located in SMITHTOWN, New York. NPI 1508077058 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SMITHTOWN, NY
Registration Details
- NPI Number
- 1508077058
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 25, 2007 (19.212995357395 yrs)
- Last Updated
- Jul 8, 2007
- License
-
400712 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
994 W JERICHO TPKESUITE 202SMITHTOWN, NY, 117873235Browse NY providers · Browse ZIP 11787
- Phone
- 6314745800
- Fax
- 6318649201
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in SMITHTOWN, NY
| Name | Credential | NPI |
|---|---|---|
| BARBARA CARTABUKE-MULE | PA | 1962492389 |
| PAUL T MCGOVERN | PA | 1730179052 |
| MARY G FLANAGAN-KUNDLE | PA-C | 1356301428 |
| MS. COLLEEN BETH COLEMAN-SPICIATI | PA | 1659318947 |
| JOSE L PEREZ | PA | 1982701603 |
| MARY JO MCBRIDE | — | 1619067543 |
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.