Fazzini, Enrico
Fazzini, Enrico is an individual health care provider with primary practice located at 108-14 72Nd Avenue 2Nd Floor, Forest Hills NY 11375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fazzini, Enrico can be contacted via phone (718) 263-5600.Contact Information
Primary practice address
108-14 72Nd Avenue 2Nd Floor
Forest Hills NY 11375
Phone: (718) 263-5600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 157518 | New York |
Profile Details
| NPI number | 1407883150 |
|---|---|
| LBN Legal business name | Fazzini, Enrico |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2006 |
| Last updated | Jan 25th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407883150 | NPPES |
| New York | Other | TAX ID | TIN 133530704 |
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