Fazio, Leonard Thomas

Fazio, Leonard Thomas is an sole proprietor health care provider with primary practice located at 1303 Main St The Pen And Pencil Building Suite 2, Port Jefferson NY 11777-2257. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fazio, Leonard Thomas can be contacted via phone (631) 474-7477.

Contact Information

Primary practice address
1303 Main St The Pen And Pencil Building Suite 2 Port Jefferson NY 11777-2257
Phone: (631) 474-7477
Fax: (631) 474-7427
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 041861 New York

Profile Details

NPI number 1194863134
LBN Legal business name Fazio, Leonard Thomas
Credentials D.D.S., P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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