Fiordaliso, Nina
Fiordaliso, Nina is an sole proprietor health care provider with primary practice located at 4802 10Th Avenue , Brooklyn NY 11219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Emergency Medical Services. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Fiordaliso, Nina can be contacted via phone (718) 283-8773.Contact Information
Primary practice address
4802 10Th Avenue
Brooklyn NY 11219
Phone: (718) 283-8773
Fax: (718) 283-8796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 007483 | New York |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 007483 | New York |
Profile Details
| NPI number | 1669542593 |
|---|---|
| LBN Legal business name | Fiordaliso, Nina |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 16th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669542593 | NPPES |
| New York | MEDICAID | 02622526 |
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