Fazio, Anthony John

Fazio, Anthony John is an sole proprietor health care provider with primary practice located at 4747-10 Nesconset Hwy , Port Jefferson Station NY 11776-2880. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fazio, Anthony John can be contacted via phone (631) 474-7828.

Contact Information

Primary practice address
4747-10 Nesconset Hwy Port Jefferson Station NY 11776-2880
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 047260 New York

Profile Details

NPI number 1801197371
LBN Legal business name Fazio, Anthony John
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2010
Last updated Nov 15th, 2010 - about 14 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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