Individual provider · Type 1 NPI
Tiana Fazio, NP
Pediatric Nurse Practitioner · East Patchogue, NY
NPI number
1467153684
Active
Practice location
285 Sills Rd Ste A
East Patchogue, NY 11772-4869
Mailing address
25 Nesconset Ave
Nesconset, NY 11767-1915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | F383310-01 (NY) |
Pediatric Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1467153684
Tiana Fazio, NP's National Provider Identifier is 1467153684, issued on Mar 14, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in East Patchogue, NY. The record was last updated on Mar 14, 2023.