| Enrico Fazzini, D.o., P.c | |
|
108-14 72nd Avenue 2nd Floor Forest Hills NY 11375 | |
| (718) 263-5600 | |
| Not Available |
| Full Name | Enrico Fazzini, D.o., P.c |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 108-14 72nd Avenue, Forest Hills, New York |
| Authorized Official Name and Position | Enrico Fazzini (DIRECTOR) |
| Authorized Official Contact | 7182635600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrico Fazzini, D.o., P.c 108-14 72nd Avenue 2nd Floor Forest Hills NY 11375 Ph: (718) 263-5600 | Enrico Fazzini, D.o., P.c 108-14 72nd Avenue 2nd Floor Forest Hills NY 11375 Ph: (718) 263-5600 |
| NPI Number | 1326128034 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326128034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 157518 (New York) | Primary |
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