Mario Fracassa Mdpc

NPI #1649469222 in Plainview, New York

Provider Information

NPI Number: 1649469222
Entity Type: Organization
Organization Name: Mario Fracassa Mdpc
Primary Specialty: Ophthalmology
Enumeration Date: Oct 18, 2007
Last Updated: Oct 30, 2007

Practice Location

Address: 732 OLD COUNTRY RD
City: Plainview
State: New York
ZIP Code: 11803-4929
Phone: (516) 822-3911

Authorized Official

Name: DONNA NIELSEN
Title: PRACTICE ADMINISTRATOR
Phone: (516) 822-3911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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