DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESA LYNNE FAZZOLARI, P.A.

Active Sole Proprietor

THERESA LYNNE FAZZOLARI, P.A. is a Physician Assistant healthcare provider located in BROOKLYN, New York. NPI 1659628717 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BROOKLYN, NY

Registration Details

NPI Number
1659628717
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2012 (14.005382025819 yrs)
Last Updated
Aug 8, 2012
License
004688 (NY)
Sole Proprietor
Yes

Practice Information

Address
150 55TH ST
BROOKLYN, NY, 112202508
Browse NY providers · Browse ZIP 11220
Phone
7186307000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BROOKLYN, NY

Name Credential NPI
MS. JENNIFER HILL PA 1124022520
MS. RITA SACHS PA 1235127952
MR. TZVI WARSHAW P.A. 1578545489
MR. SANEESE STEPHEN RPA-C 1477537025
MS. DONNA CATHERINE MEHALESKO RPA-C 1811975790
MISS MANJU PAMELA RAJAN RPA-C 1275511065
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.