Individual
CHRISTINA FAZZOLARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 BROAD ST, 12TH FLOOR, NEW YORK, NY 10004-2304
(212) 587-8606
Mailing address
333 EARLE OVINGTON BLVD, SUITE 225, UNIONDALE, NY 11553-3610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
038292
NY
Other
Enumeration date
11/20/2014
Last updated
01/05/2021
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