THERESA LYNNE FAZZOLARI

BROOKLYN, NY
NPI1659628717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  004688)
Enumeration Date2012-08-08
Last Update Date2012-08-08
Business Address
-- THERESA LYNNE FAZZOLARI P.A.
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: 718-630-7000
Mailing Address
-- THERESA LYNNE FAZZOLARI P.A.
150 55TH ST
BROOKLYN, NY 11220-2508
Phone number: