JENNA FABOZZI


Address: 7 Southwoods Blvd, Albany, NY 12211
Phone: 5182926000

JENNA FABOZZI (NPI# 1942616552) 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) 1942616552
Entity Type Individual
Full Name JENNA FABOZZI
Credential NP
Practice Address 7 Southwoods Blvd
Albany
NY 12211
Mailing Address 7 Southwoods Blvd
Albany
NY 12211-2514
Practice Telephone 5182926000
Practice Fax Number 5182926050
Mailing Telephone 5182926000
Mailing Fax Number 5182926050
Enumeration Date 2014-07-02
Last Update Date 2019-08-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F338838-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 04015376 05
VT 1034173 05
MA 110148414A 05

Office Location

Street Address 7 SOUTHWOODS BLVD
City ALBANY
State NY
Zip Code 12211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356345326 Michael Paul Bernstein Internal Medicine 7 Southwoods Blvd, Capital Cardiology Associates PC, Albany, NY 12211-2526 2005-06-08
1598373482 Validus Medical, PC Anesthesiology 7 Southwoods Blvd, 3rd Floor Capital Cardiology, Albany, NY 12211-2526 2020-07-17
1134753577 Alexandra K Drzymalski Nurse Practitioner 7 Southwoods Blvd, Albany, NY 12211 2020-02-25
1679122782 Alyssa Hare Physician Assistant 7 Southwoods Blvd, Albany, NY 12211 2019-09-11
1568928737 Rebecca Lynn Stiles Nurse Practitioner 7 Southwoods Blvd, Albany, NY 12211 2019-02-13
1508347618 Jesuit P Nugas Nurse Practitioner 7 Southwoods Blvd, Albany, NY 12211 2018-08-27
1497113856 Melissa A Raduazzo Nurse Practitioner 7 Southwoods Blvd, Albany, NY 12211 2016-02-01
1043688112 Darshaney D Sankhar Nurse Practitioner 7 Southwoods Blvd, Capital Cardiology Associates PC, Albany, NY 12211-2526 2015-09-08
1184066870 Amanda Schaffer Physician Assistant 7 Southwoods Blvd, Albany, NY 12211 2013-07-23
1508121534 Timothy M Adams Dentist 7 Southwoods Blvd, Albany, NY 12211-2514 2012-07-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578086260 Karen E Canniff Nurse Practitioner 7 Southwoods, Blvdcapital Cardiology Associates, PC, Albany, NY 12211 2017-07-25
1881931335 Arvinder Singh Anesthesiology 12 Fenway Drive, Albany, NY 12211 2013-01-03
1174795694 Quik Flight Ambulance 16 Jetway Drive, Albany, NY 12211 2008-03-25
1164543732 Judith C Tate Psychologist 46 Green Meadows Lane, Loudonville, NY 12211 2007-04-02
1942305776 Christopher J Lyons Dentist 476 Albany Shaker Rd, Loudonville, NY 12211 2006-09-14
1831293562 Antonio Boncordo Dentist 515 1/2 Albany Shaker Rd, Loudonville, NY 12211 2006-09-12
1417060575 Laura Rodolakis Nurse Practitioner Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 2006-08-15
1326524331 Anthony Jones Md Skilled Nursing Facility 780 Albany Shaker Rd, Albany, NY 12211 2018-07-12
1366943755 Colleen M O'keeffe Nurse Practitioner Capital Cardiology Associates, PC, 7 Southwoods Blvd, Albany, NY 12211 2018-02-22
1285907998 Michelle G Vasilakis Speech-Language Pathologist 30 Southgate Rd, Loundonville, NY 12211 2012-02-13
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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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1245837194 Thomas W Mansfield Nurse Practitioner 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 2020-10-05
1770199408 April Mccluster Nurse Practitioner 2753 Bettys Dr, Albany, GA 31705-9510 2020-09-17
1457967317 Cynthia Ann Chaney Nurse Practitioner 4546 Lacosta Dr, Albany, GA 31721-9433 2020-09-16
1083223135 Jamila Cruz Nurse Practitioner 1758 Philema Rd S, Albany, GA 31701-4781 2020-07-24
1083239313 Danajoy Melissa Vincent Nurse Practitioner 416 Partridge Dr, Albany, GA 31707-3038 2020-06-12
1033744602 Rodesia Ashanta Woodson Nurse Practitioner 2504 Devon Dr, Albany, GA 31721-2128 2020-03-04
1972156057 Kristen Lynn Cook Nurse Practitioner 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 2019-07-18
1255992046 Jennifer Lieberman Nurse Practitioner 1365 Washington Ave Ste 100, Albany, NY 12206-1098 2019-06-24
1053976993 Amanda Bylsma Nurse Practitioner 5 Palisades Dr Ste 200, Albany, NY 12205-6433 2019-05-07
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Competitor

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City ALBANY
Zip Code 12211

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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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