Individual
MRS. LINDA A FASZCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 PANTIGO PL, SUITE I, EAST HAMPTON, NY 11937-5920
(631) 329-8430
(631) 329-8291
Mailing address
895 HIGHLAND RD, CUTCHOGUE, NY 11935-1248
(631) 734-8088
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F300559
NY
Other
Enumeration date
04/04/2008
Last updated
12/07/2012
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