Individual
DR. DAVID A FAZZARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
19 W 34TH ST, PENTHOUSE SUITE, NEW YORK, NY 10001-3006
(212) 714-7025
Mailing address
19 W 34TH ST, PENTHOUSE SUITE, NEW YORK, NY 10001-3006
(212) 714-7025
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
018248
NY
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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