| Roseann Fazio Do Pc | |
|
7401 10th Ave Brooklyn NY 11228-1911 | |
| (718) 238-0024 | |
| Not Available |
| Full Name | Roseann Fazio Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7401 10th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Roseann Fazio (PRESIDENT) |
| Authorized Official Contact | 7182380024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseann Fazio Do Pc 7401 10th Ave Brooklyn NY 11228-1911 Ph: (718) 238-0024 | Roseann Fazio Do Pc 7401 10th Ave Brooklyn NY 11228-1911 Ph: (718) 238-0024 |
| NPI Number | 1225358187 |
|---|---|
| Provider Enumeration Date | 06/02/2010 |
| Last Update Date | 06/02/2010 |
| Medicare PECOS PAC ID | 4082746862 |
|---|---|
| Medicare Enrollment ID | O20100714000160 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225358187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New York) | Primary |
| Provider Name | Roseann D Fazio |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376620310 PECOS PAC ID: 4385773894 Enrollment ID: I20100521000161 |
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