SAM M FASSNACHT

PATCHOGUE, NY
NPI1558670463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2010-09-27
Last Update Date2016-12-28
Business Address
Mr. SAM M FASSNACHT
130 MEDFORD AVE
PATCHOGUE, NY 11772-1206
Phone number: 631-475-5734
Mailing Address
Mr. SAM M FASSNACHT
130 MEDFORD AVE
PATCHOGUE, NY 11772-1206
Phone number:
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