Healthcare Provider Details

I. General information

NPI: 1558808675
Provider Name (Legal Business Name): LORI E. CIAFARDONI DNS(C), RN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2017
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 DELAWARE AVE STE 24
DELMAR NY
12054-1911
US

IV. Provider business mailing address

318 DELAWARE AVE STE 24
DELMAR NY
12054-1911
US

V. Phone/Fax

Practice location:
  • Phone: 518-591-9658
  • Fax: 518-240-4449
Mailing address:
  • Phone: 518-591-9658
  • Fax: 518-240-4449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number642650
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number234061
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number234061
License Number StateMA
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF344066
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: