Individual
DR. LOUIS VINCENT DEFAZIO II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3652
(075) 476-5536
Mailing address
1 ATWELL RD, COOPERSTOWN, NY 13326-1301
(607) 547-3652
(075) 476-5536
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
007247
NY
213E00000X
Podiatrist
01625
MD
Other
Enumeration date
04/22/2014
Last updated
08/29/2022
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