ANTHONY WILLIAM FAZIO

MEDFORD, NY
NPI1205049053
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: NY  0472071)
Enumeration Date2007-05-08
Last Update Date2007-07-08
Business Address
Dr. ANTHONY WILLIAM FAZIO DDS
2600 ROUTE 112
MEDFORD, NY 11763
Phone number: 631-475-3345
Mailing Address
Dr. ANTHONY WILLIAM FAZIO DDS
111 SPRUCE DR
HOLBROOK, NY 11741
Phone number: 631-207-1334
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