Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Brie Fantini, PA

Individual provider Surgical Physician Assistant · NPI 1326172669

Mrs. Brie Fantini, PA is a Physician Assistant in Nyack, New York. Qualified in 2004, 22 years ago. Practices with White Plains Medical Diagnostic Services, PC, a 96-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

160 N Midland Ave
Nyack, NY 10960-1912
Phone: (845) 348-8507
Fax: (845) 348-6708
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 016196-1 (NY)

Record details

NPI number1326172669
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 16, 2007
Last updated in NPPESAugust 25, 2020
Certification dateAugust 25, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice White Plains Medical Diagnostic Services, Pc — 96 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare