MR. Sam M Fassnacht

NPI #1558670463 in Patchogue, New York

Provider Information

NPI Number
1558670463
Entity Type
Individual
Name
MR. Sam M Fassnacht
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Sep 27, 2010
Last Updated
Dec 28, 2016

Practice Location

Address
130 MEDFORD AVE
ZIP Code
11772-1206
Phone
(631) 475-5734

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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