John J Fazio in Greenport - Pain Management

John J Fazio - NPI 1356364251

John J Fazio is a Pain Management in Greenport, New York. John J Fazio practices all healthcare services and medical treatments related to Pain Management. The NPI Number for John J Fazio is 1356364251. The last update date is 2015-05-06.

John J Fazio's current location address is 201 Manor Pl, Greenport, New York. You can contact this provider via phone number 6314771000. The mailing address for John J Fazio is 201 Manor Pl, Greenport, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name John J Fazio
Address 201 Manor Pl, Greenport, New York
Phone Number 6314771000
Fax Number
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1356364251
Provider Enumeration Date 2006-07-25
Last Updated Date 2015-05-06

Provider Mailing Address Detail

Address 201 Manor Pl
City Greenport
State New York (NY)
Post Code 119441222
Phone Number 6314771000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pain Management
Taxonomy 163Wp0000X
Licence No 375601
Definition:
A registered nurse who cares for patients receiving pain treatment.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1356364251 NY MEDICARE RAILROAD

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FAQs about John J Fazio

What is the unique 10-digit identifier code assigned to John J Fazio by the Centers for Medicare & Medicaid Services?

The John J Fazio has been issued the NPI (National Provider Identifier) 1356364251 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where John J Fazio's facilities are situated?

The facilities of John J Fazio are physically located at the following address: 201 Manor Pl, Greenport, NY, 119441222.

What is the John J Fazio's specialty and taxonomy code?

The John J Fazio's specialty is Pain Management, and the corresponding taxonomy code is 163Wp0000X.

On what date did John J Fazio receive its 1356364251 assignment from the Centers for Medicare & Medicaid Services?

The John J Fazio was assigned its 1356364251 on 2006-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the John J Fazio's details last updated?

The information pertaining to the John J Fazio, including its address, specialty, and other details, was most recently updated on 2015-05-06.

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