Individual
FERNANDO PACIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
60 QUEENS ST, SYOSSET, NY 11791-3058
(718) 702-7216
(718) 831-6030
Mailing address
60 QUEENS ST, SYOSSET, NY 11791-3058
(718) 702-7216
(831) 603-0351
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
141745
NY
Other
Enumeration date
08/16/2006
Last updated
04/27/2022
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