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Individual

ELIZABETH FAZIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3767 DELAWARE AVA, KENMORE, NY 14217
(716) 874-6175
Mailing address
402 VILLIAS DRIVE EAST, 402, AMHERST, NY 14228

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Enumeration date
02/24/2017
Last updated
02/24/2017
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