Individual
DR. LINDA FRANCES FAZIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
16 WOODY LN, NORTHPORT, NY 11768-3252
(631) 754-2235
Mailing address
16 WOODY LN, NORTHPORT, NY 11768-3252
(631) 754-2235
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
007956-1
NY
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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