Lydia Fazzio M.D.

NPI 1770986176 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1770986176
Gender Female
Enumeration Date 09/30/2014
Last Updated 12/16/2015
Entity Type Individual
Active Over 2 years ago
Practice Location
25 HACKETT BLVD
MC 164
ALBANY NY, 12208-3462, US
Phone (518) 262-5511
Fax
Business Location
25 HACKETT BLVD
MC 164
ALBANY NY, 12208-3462, US
Phone (518) 262-5511
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State New York
License Number 216839-1
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According to our database, Lydia Fazzio M.D. NPI is 1770986176, taxonomy code is 2084P0800X and license number is 216839-1, license state is located at New York. Lydia Fazzio M.D. physically located at 25 Hackett Blvd, Albany NY, 12208-3462. NPI Number Lydia Fazzio M.D. has the Individual type.

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1770986176 NPI number is provided on an as is basis without warranty of any kind. 1770986176 is maintained by the National Plan & Provider Enumeration System. The contents of Lydia Fazzio M.D. are for informational purposes only.