Defazio, Gregory V

Defazio, Gregory V is an individual health care provider with primary practice located at 1301 82Nd Street , Brooklyn NY 11228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Defazio, Gregory V can be contacted via phone (718) 836-3721.

Contact Information

Primary practice address
1301 82Nd Street Brooklyn NY 11228
Phone: (718) 836-3721
Fax: (718) 259-6567
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 198761 New York

Profile Details

NPI number 1164495628
LBN Legal business name Defazio, Gregory V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164495628 NPPES
New York MEDICAID 01606046

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