Organization
RICHARD A. FAZIO MD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A FAZIO (PRESIDENT)
(718) 448-1122
Entity
Organization
Contact information
Practice address
78 TODT HILL RD, SUITE 203, STATEN ISLAND, NY 10314-4528
(718) 448-1122
(718) 448-8318
Mailing address
78 TODT HILL RD, SUITE 203, STATEN ISLAND, NY 10314-4528
(718) 448-1122
(718) 448-8318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/18/2007
Last updated
04/14/2008
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