Leonard Thomas Fazio in Port Jefferson - General Practice
Leonard Thomas Fazio - NPI 1194863134
Leonard Thomas Fazio is a General Practice in Port Jefferson, New York. Leonard Thomas Fazio practices all healthcare services and medical treatments related to General Practice. The NPI Number for Leonard Thomas Fazio is 1194863134. The last update date is 2007-07-08.
Leonard Thomas Fazio's current location address is 1303 Main St, Port Jefferson, New York. You can contact this provider via phone number 6314747477 and fax number 6314747427. The mailing address for Leonard Thomas Fazio is 1303 Main St, Port Jefferson, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Leonard Thomas Fazio |
|---|---|
| Address | 1303 Main St, Port Jefferson, New York |
| Phone Number | 6314747477 |
| Fax Number | 6314747427 |
| Sole Proprietor | Y |
| Credentials | D.D.S., P. |
NPI Number Detail
| NPI Number | 1194863134 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1303 Main St |
|---|---|
| City | Port Jefferson |
| State | New York (NY) |
| Post Code | 117772257 |
| Phone Number | 6314747477 |
| Fax Number | 6314747427 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 41861 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique provider identifier assigned to Leonard Thomas Fazio?
The Leonard Thomas Fazio has been issued the NPI (National Provider Identifier) 1194863134 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Leonard Thomas Fazio is physically located?
The Leonard Thomas Fazio is physically situated at the following address: 1303 Main St, Port Jefferson, NY, 117772257.
What is the area of specialization for Leonard Thomas Fazio, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Leonard Thomas Fazio is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Leonard Thomas Fazio receive the assignment of its 1194863134 from the Centers for Medicare & Medicaid Services?
The Leonard Thomas Fazio was issued its 1194863134 by the Centers for Medicare & Medicaid Services on 2007-02-02.
As of what date were the details related to Leonard Thomas Fazio most recently updated or revised?
The information pertaining to Leonard Thomas Fazio, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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