Organization
EMERALD CITY MEDICAL PC
Active
Parent organization
ENRICO FAZZINI, D.O., P.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENRICO FAZZINI, D.O., P.C
Authorized official
ENRICO FAZZINI DO (OWNER)
(212) 983-1370
Entity
Organization
Contact information
Practice address
130 E 40TH ST, STE 1001, NEW YORK, NY 10016-0941
(212) 983-1370
(212) 286-9327
Mailing address
130 E 40TH ST, STE 1001, NEW YORK, NY 10016-0941
(929) 500-1030
(917) 210-3606
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
04/05/2021
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