Miriam Kerolus Fanouse is a student in an organized health care education training program in Staten Island, NY. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Miriam Kerolus Fanouse NPI is 1356761456. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
4864 ARTHUR KILL RD
STATEN ISLAND, NY
ZIP 10309-650
Phone: (347) 307-1381
The enumeration date for this NPI number is 4/16/2014 and was last updated on 7/21/2022.