Individual
NUNZIA FATICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 774-7182
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4872
(212) 774-7182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
153809
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00856244
—
NY
Enumeration date
07/09/2006
Last updated
07/08/2007
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