Individual provider · Type 1 NPI

Louise Fanning

Specialist · Wantagh, NY

NPI number 1962765859 Active

Practice location

3669 Berne Rd
Wantagh, NY 11793-3113

Call (516) 785-3485 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1962765859

Louise Fanning's National Provider Identifier is 1962765859, issued on Jun 17, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Wantagh, NY. The record was last updated on Jun 17, 2012.