Individual
ALEXANDER FAUCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3438 BELL BLVD, BAYSIDE, NY 11361-1739
(631) 512-1717
Mailing address
541 S OCEAN AVE, PATCHOGUE, NY 11772-3722
(631) 512-1717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
326502
NY
Other
Enumeration date
04/08/2021
Last updated
02/04/2025
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