Fazio, Leonard Thomas
Fazio, Leonard Thomas is an sole proprietor health care provider with primary practice located at 1303 Main St The Pen And Pencil Building Suite 2, Port Jefferson NY 11777-2257. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fazio, Leonard Thomas can be contacted via phone (631) 474-7477.Contact Information
Primary practice address
1303 Main St The Pen And Pencil Building Suite 2
Port Jefferson NY 11777-2257
Phone: (631) 474-7477
Fax: (631) 474-7427
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 041861 | New York |
Profile Details
| NPI number | 1194863134 |
|---|---|
| LBN Legal business name | Fazio, Leonard Thomas |
| Credentials | D.D.S., P.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2007 |
| 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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