MRS. JULIE FASANELLO


Address: 77 Goodell St, Suite 240, Buffalo, NY 14203-1243
Phone: 7168167257

MRS. JULIE FASANELLO (NPI# 1225393689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225393689
Entity Type Individual
Full Name MRS. JULIE FASANELLO
Credential FNP
Practice Address 77 Goodell St
Suite 240
Buffalo
NY 14203-1243
Practice Telephone 7168167257
Practice Fax Number 8889724740
Mailing Telephone 7168167257
Mailing Fax Number 8889724740
Enumeration Date 2012-07-11
Last Update Date 2014-11-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F337356-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 77 GOODELL ST
SUITE 240
City BUFFALO
State NY
Zip Code 14203-1243

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891733614 Scott Stewart Internal Medicine 77 Goodell St, Buffalo, NY 14203-1243 2006-06-03
1093325730 Sharysse Christina Kayoumedjian Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2020-08-07
1265055248 Steven Foulis Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2020-05-25
1871115246 Charles Wilber Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2020-05-08
1215557426 Margaret Mahaffa Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2020-04-17
1720607211 Ashley Deluca Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2020-04-14
1669091435 Jake William Carter Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2020-04-13
1679102412 Megan Guntrum Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2020-04-03
1235627472 Tariq Jamal Ahmed Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2018-04-24
1821595877 Diva Viteare Bomgaars Student in an Organized Health Care Education/Training Program 77 Goodell St, Buffalo, NY 14203-1243 2018-04-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912514902 Valerie Anne Conley Counselor 475 Elllicott St., Buffalo, NY 14203 2020-09-24
1457975674 Qing Ma Pharmacist Nys Center of Excellence In Bioinformatics and Life Sci, 701 Ellicott Street, Buffalo, NY 14203 2020-06-03
1265056659 Elizabeth Nicole Mancuso Student in an Organized Health Care Education/Training Program 1001 Main Street University At Buffalo, Department of P, 5th Floor, Buffalo, NY 14203 2020-06-02
1720601404 Ronak Dhiraj Bahuva Student in an Organized Health Care Education/Training Program 955 Main Street, University At Buffalo, Jacobs School O, Buffalo, NY 14203 2020-05-28
1780207266 Jaya Mishra Student in an Organized Health Care Education/Training Program 818 Ellicot Street, Buffalo, NY 14203 2020-05-19
1013530617 Amanpreet Kaur Singh Student in an Organized Health Care Education/Training Program 77 Goodell Street Department of Medicine, Suite 240, Buffalo, NY 14203 2020-05-19
1013538917 Leen Hosam Alyacoub Student in an Organized Health Care Education/Training Program 100 High Street, D2-76 Buffalo, Ny 14203, Buffalo Gener, Buffall, NY 14203 2020-05-01
1003436601 Maxiam Dean Student in an Organized Health Care Education/Training Program Ub Family Residency Program, 77 Goodell Street, 2nd Floor, Buffalo, NY 14203 2020-04-23
1144849837 Jennifer Anthone-kloss Student in an Organized Health Care Education/Training Program Anesthesiology Residency & Fellowship Programs, Ub Gateway, 77 Goodell Street, Suite 550, Buffalo, NY 14203 2020-04-13
1821658873 Peter William Ip Fung Chun Student in an Organized Health Care Education/Training Program 1001 Main Street, Room 5145, Division of Pediatric Medical Education, Buffalo, NY 14203 2019-06-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1659921609 Ashley Lynn Ferguson Nurse Practitioner 8 Rose Dr, Buffalo, WY 82834-9312 2019-09-11
1093376121 Patrisha Jane Neff Nurse Practitioner 12009 Mineral Ave, Buffalo, OH 43722 2019-06-28
1699336230 Taylor Jean Tamburlin Nurse Practitioner 2240 N Forest Rd, Buffalo, NY 14221-1357 2019-06-25
1447815436 Susan My Nghe Nurse Practitioner 1458 Sheridan Dr, Buffalo, NY 14217-1249 2019-05-05
1457914228 Scot Lee Yarnell Nurse Practitioner 310 S Pacific St, Buffalo, KS 66717-2140 2019-04-17
1679021158 Dawn Harrison Nurse Practitioner 935 Delaware Ave., Suite 300, Buffalo, NY 14209 2016-09-14
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Competitor

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City BUFFALO
Zip Code 14203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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