Healthcare Provider Details

I. General information

NPI: 1730090606
Provider Name (Legal Business Name): LORI CIAFARDONI NURSE PRACTITIONER IN FAMILY HEALTH PLLC/WELLNESS ON DELAWARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
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 TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: R CIAFARDONI
Title or Position: OWNER
Credential: FNP-BC
Phone: 518-591-9658