DE FAZIO OBSTETRICS & GYNECOLOGY PC NPI 1447594916

NPI Information

DE FAZIO OBSTETRICS & GYNECOLOGY, PC is an obstetrics gynecology in Brooklyn, NY. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DE FAZIO OBSTETRICS & GYNECOLOGY, PC NPI is 1447594916. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 82ND ST
BOX 26
BROOKLYN, NY
ZIP 11228-007
Phone: (718) 836-3721
Fax: (718) 259-6567

The provider's authorized official is Mark De Fazio .
The authorized official title is Owner and has the following contact phone number (718) 836-3721.

The CLIA number assigned to this NPI record is 33D2092312 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 11/21/2012 and was last updated on 11/21/2012.

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:

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