Richard John Fata

NPI #1760704845 in Mount Sinai, New York

Provider Information

NPI Number: 1760704845
Entity Type: Individual
Name: Richard John Fata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Feb 17, 2010
Last Updated: Feb 17, 2010

Practice Location

Address: 5507 NESCONSET HWY
City: Mount Sinai
State: New York
ZIP Code: 11766-2031
Phone: (631) 473-8706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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