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Alesa Fazio
NPI 1932436805 · on the registry since 2009 · sole proprietor
Practice
- Address
- 58 Hagerman Ave
Medford, NY 11763 - Phone
- (631) 626-4412
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2009-11-12
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