Organization
UNIFIED NEUROLOGICAL RESTORATIVE THERAPIES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ENRICO FAZZINI D.O. (PRESIDENT)
(212) 983-1370
Entity
Organization
Contact information
Practice address
353 LEXINGTON AVE RM 1001, NEW YORK, NY 10016-0941
(212) 983-1370
Mailing address
353 LEXINGTON AVE RM 1001, NEW YORK, NY 10016-0941
(212) 983-1370
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
157518
NY
Other
Enumeration date
07/09/2013
Last updated
07/09/2013
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