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Fausto Minaya Correa
NPI 1730557505 · on the registry since 2015 · sole proprietor
Practice
- Address
- 540 Bishop Dr
Orange, CT 06477 - Phone
- (203) 553-9696
- Fax
- (203) 298-4185
- Organisation at this address
- Icon Imaging Llc
Family Diagnostics LlcInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 246XS1301X
246XS1301X
- Also registered as
- 246ZE0600X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-07-09
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 Connecticut