MARK L DEFAZIO

BROOKLYN, NY
NPI1073586343
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: NY  178425)
Enumeration Date2006-02-08
Last Update Date2011-09-23
Business Address
-- MARK L DEFAZIO MD
1301 82ND ST
BROOKLYN, NY 11228
Phone number: 718-836-3721
Mailing Address
-- MARK L DEFAZIO MD
1301 82ND ST BOX 26
BROOKLYN, NY 11228
Phone number: 718-836-3721
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