LEONARD THOMAS FAZIO

PORT JEFFERSON, NY
NPI1194863134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NY  041861)
Enumeration Date2007-02-02
Last Update Date2007-07-08
Business Address
Dr. LEONARD THOMAS FAZIO D.D.S., P.C.
1303 MAIN ST THE PEN AND PENCIL BUILDING SUITE 2
PORT JEFFERSON, NY 11777-2257
Phone number: 631-474-7477
Mailing Address
Dr. LEONARD THOMAS FAZIO D.D.S., P.C.
1303 MAIN ST THE PEN AND PENCIL BUILDING SUITE 2
PORT JEFFERSON, NY 11777-2257
Phone number: 631-474-7477
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