Provider Demographics
NPI:1972590180
Name:AIELLO, LORINA (NP)
Entity type:Individual
Prefix:
First Name:LORINA
Middle Name:
Last Name:AIELLO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CARE LN
Mailing Address - Street 2:STE 302
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-8636
Mailing Address - Country:US
Mailing Address - Phone:607-584-7385
Mailing Address - Fax:607-772-1223
Practice Address - Street 1:3 CARE LN
Practice Address - Street 2:STE 302
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-8636
Practice Address - Country:US
Practice Address - Phone:607-584-7385
Practice Address - Fax:607-772-1223
Is Sole Proprietor?:No
Enumeration Date:2005-10-03
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF332679363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01956610Medicaid
NYP00340326Medicare PIN
NY01956610Medicaid
NYRB0379Medicare PIN