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1467822718
DAVID STEPHEN FAZULAK
NANUET, NY
NPI
1467822718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY P99490)
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
Mr. DAVID STEPHEN FAZULAK DPT
408 AIRPORT EXECUTIVE PARK
NANUET, NY 10954-5288
Phone number: 845-356-2020
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Mailing Address
Mr. DAVID STEPHEN FAZULAK DPT
408 AIRPORT EXECUTIVE PARK
NANUET, NY 10954-5288
Phone number: 845-356-2020
Copy
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