Organization
ENRICO FAZZINI, D.O., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRICO FAZZINI D.O (DIRECTOR)
(718) 263-5600
Entity
Organization
Contact information
Practice address
108-14 72ND AVENUE, 2ND FLOOR, FOREST HILLS, NY 11375
(718) 263-5600
Mailing address
108-14 72ND AVENUE, 2ND FLOOR, FOREST HILLS, NY 11375
(718) 263-5600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
157518
NY
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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