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Individual

RICHARD MARK FAZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3030 WESTCHESTER AVE, PURCHASE, NY 10577-2574
(914) 831-4100
Mailing address
3030 WESTCHESTER AVE, PURCHASE, NY 10577-2574

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
292288
NY

Other

Enumeration date
04/02/2014
Last updated
07/12/2021
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