NICHOLAS DEFAZIO

STATEN ISLAND, NY
NPI1245887421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-08-21
Last Update Date2019-08-21
Business Address
NICHOLAS DEFAZIO
358 SAINT MARKS PL
STATEN ISLAND, NY 10301-2417
Phone number: 718-727-3303
Mailing Address
NICHOLAS DEFAZIO
358 SAINT MARKS PL
STATEN ISLAND, NY 10301-2417
Phone number:
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