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Sam Fassnacht
NPI 1558670463 · on the registry since 2010 · sole proprietor
Practice
- Address
- 130 Medford Ave
Patchogue, NY 11772 - Phone
- (631) 475-5734
- Organisation at this address
- Patchogue Family Medical Care, Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Sex
- Male
- Record last updated
- 2016-12-28
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