Individual provider · Type 1 NPI

Nicholas Fazio, MD

Student in an Organized Health Care Education/Training Program · East Setauket, NY

NPI number 1649073123 Active

Practice location

33 Research Way Ste 13
East Setauket, NY 11733-3489

Call (631) 444-4090 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1649073123

Nicholas Fazio, MD's National Provider Identifier is 1649073123, issued on Mar 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in East Setauket, NY. The record was last updated on Mar 31, 2025.