Provider Demographics
NPI:1033874938
Name:FERRARA, PATRICIA ALISON (MSN, FNP-C, ONC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ALISON
Last Name:FERRARA
Suffix:
Gender:F
Credentials:MSN, FNP-C, ONC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SCARLETT DR
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-4630
Mailing Address - Country:US
Mailing Address - Phone:631-902-1099
Mailing Address - Fax:
Practice Address - Street 1:330 S SERVICE RD STE 120
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-3253
Practice Address - Country:US
Practice Address - Phone:631-719-2905
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-04
Last Update Date:2023-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY348518363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily