Individual
MR. LOUIS ANTHONY FIACCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
(607) 773-4195
Mailing address
425 ROBINSON ST, BINGHAMTON, NY 13904-1775
(607) 773-4195
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
464619
NY
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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