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1659628717
THERESA LYNNE FAZZOLARI
BROOKLYN, NY
NPI
1659628717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 004688)
Enumeration Date
2012-08-08
Last Update Date
2012-08-08
Business Address
-- THERESA LYNNE FAZZOLARI P.A.
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-7000
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Mailing Address
-- THERESA LYNNE FAZZOLARI P.A.
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number:
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