Individual provider · Type 1 NPI

Timothy A. Fava, OPTICIAN

Optician · Brooklyn, CT

NPI number 1508226762 Active

About NPI 1508226762

Timothy A. Fava, OPTICIAN's National Provider Identifier is 1508226762, issued on Mar 2, 2016. The primary taxonomy on file is Optician (156FX1800X), and the practice location is in Brooklyn, CT. The record was last updated on Mar 2, 2016.