Search › New York › 363LF0000X
Mark Profetto, FNP
NPI 1487852851 · on the registry since 2007
Practice
- Address
- 4103 Medical Center Dr
Fayetteville, NY 13066 - Phone
- (315) 637-7800
- Fax
- (315) 637-7808
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-12-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York