Individual provider · Type 1 NPI

Sam M. Fassnacht

Medical Physician Assistant · Patchogue, NY

NPI number 1558670463 Active

Practice location

130 Medford Ave
Patchogue, NY 11772-1206

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1558670463

Sam M. Fassnacht's National Provider Identifier is 1558670463, issued on Sep 27, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Patchogue, NY. The record was last updated on Dec 28, 2016.