Organization
JAMIE DEFAZIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE E DEFAZIO (OWNER)
(845) 332-6810
Entity
Organization
Contact information
Practice address
3755 U.S. HIGHWAY 20, RICHFIELD SPRINGS, NY 13439
(845) 332-6810
Mailing address
3755 U.S. HIGHWAY 20, RICHFIELD SPRINGS, NY 13439
(845) 332-6810
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
648245377
NY
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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