Tara Fazio

NPI #1104293190 in Selden, New York

Provider Information

NPI Number
1104293190
Entity Type
Individual
Name
Tara Fazio
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Acupuncturist
Enumeration Date
Aug 26, 2015
Last Updated
Aug 26, 2015

Practice Location

Address
57 VAN BRUNT AVE
City
Selden
ZIP Code
11784-4021
Phone
(631) 241-7849

Specialties & Taxonomy Codes

Specialty
Acupuncturist

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