JOHN J FAZIO CRNA NPI 1356364251

NPI Information

NPI: 1356364251
Provider Name: JOHN J FAZIO, CRNA
Classification: Registered Nurse - 163WP0000X
Entity Type: Individual

Specialization: Pain Management

Address:
201 MANOR PL
GREENPORT, NY
ZIP 11944
Phone: (631) 477-1000
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John J Fazio, CRNA is a pain management registered nurse in Greenport, NY. John J Fazio, CRNA NPI is 1356364251. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

201 MANOR PL
GREENPORT, NY
ZIP 11944-222
Phone: (631) 477-1000

The enumeration date for this NPI number is 7/25/2006 and was last updated on 5/6/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0000X	Registered Nurse	Pain Management	375601	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1356364251	OTHER	NEW YORK	MEDICARE RAILROAD
2	JF0R042310	MEDICARE PIN	NEW YORK
3	R04231	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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