Organization
MARIO FRACASSA MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA NIELSEN (PRACTICE ADMINISTRATOR)
(516) 822-3911
Entity
Organization
Contact information
Practice address
732 OLD COUNTRY RD, PLAINVIEW, NY 11803-4929
(516) 822-3911
(516) 822-3983
Mailing address
732 OLD COUNTRY RD, PLAINVIEW, NY 11803-4929
(516) 822-3911
(516) 822-3983
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
102963
NY
Other
Enumeration date
10/18/2007
Last updated
10/30/2007
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