Search › New York › 122300000X
Anthony Fazio, DDS
NPI 1205049053 · on the registry since 2007
Practice
- Address
- 2600 Route 112
Medford, NY 11763 - Phone
- (631) 475-3345
- Fax
- (631) 475-1090
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York