Fazio, John J

Fazio, John J is an individual health care provider with primary practice located at 201 Manor Pl , Greenport NY 11944-1222. He recently has only one registered license in Nursing Service Providers / Pain Management, which is considered as his primary health care specialty. Fazio, John J can be contacted via phone (631) 477-1000.

Contact Information

Primary practice address
201 Manor Pl Greenport NY 11944-1222
Phone: (631) 477-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pain Management 163WP0000X 375601 New York

Profile Details

NPI number 1356364251
LBN Legal business name Fazio, John J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated May 6th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356364251 NPPES
New York Other 1356364251 MEDICARE RAILROAD

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