Fazio, Jennifer

Fazio, Jennifer is an individual health care provider with primary practice located at 2233 Nesconset Hwy Suite 104, Lake Grove NY 11755-1000. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fazio, Jennifer can be contacted via phone (631) 737-5559.

Contact Information

Primary practice address
2233 Nesconset Hwy Suite 104 Lake Grove NY 11755-1000
Phone: (631) 737-5559
Fax: (631) 737-0001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 091960 New York

Profile Details

NPI number 1245635259
LBN Legal business name Fazio, Jennifer
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2014
Last updated Nov 3rd, 2014 - about 10 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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