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1427766062
STACI ANN FAZIO
STATEN ISLAND, NY
NPI
1427766062
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 224968)
Enumeration Date
2022-11-14
Last Update Date
2022-11-14
Business Address
Mrs. STACI ANN FAZIO LPN
156 JANSEN ST
STATEN ISLAND, NY 10312-5436
Phone number: 718-727-8202
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Mailing Address
Mrs. STACI ANN FAZIO LPN
156 JANSEN ST
STATEN ISLAND, NY 10312-5436
Phone number: 917-378-5367
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