Fazzolari, Michelle Mary

Fazzolari, Michelle Mary is an sole proprietor health care provider with primary practice located at 436 Willis Ave , Williston Park NY 11596-2298. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Fazzolari, Michelle Mary can be contacted via phone (516) 233-0144.

Contact Information

Primary practice address
436 Willis Ave Williston Park NY 11596-2298
Phone: (516) 233-0144
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 473873369 New York
Other Service Providers / Specialist 174400000X 473873369 New York

Profile Details

NPI number 1417381088
LBN Legal business name Fazzolari, Michelle Mary
Credentials MS ED.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2013
Last updated Aug 30th, 2013 - about 13 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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