ENRICO FAZZINI (NPI# 1407883150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407883150 |
| Entity Type | Individual |
| Full Name | ENRICO FAZZINI |
| Credential | DO |
| Practice Address |
108-14 72nd Avenue 2nd Floor Forest Hills NY 11375 |
| Practice Telephone | 7182635600 |
| Mailing Telephone | 7182635600 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2008-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
157518 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | TIN 133530704 | TAX ID | 01 |
| Street Address |
108-14 72ND AVENUE 2ND FLOOR |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922659275 | Jamie Liora Adges | Art Therapist | 108-14 72nd Avenue, 2nd Fl., Forest Hills, NY 11375 | 2019-09-26 |
| 1326128034 | Enrico Fazzini, D.o., P.c | Psychiatry & Neurology | 108-14 72nd Avenue, 2nd Floor, Forest Hills, NY 11375 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518286897 | Seniha Inan | Psychiatry & Neurology | 10255 63rd Rd, Forest Hills, NY 11375-1048 | 2010-05-25 |
| 1235190174 | Ira R Casson | Psychiatry & Neurology | 112-03 Queens Blvd, Ste 201, Forest Hills, NY 11375 | 2006-03-30 |
| 1790764348 | Carlisle L St. Martin | Psychiatry & Neurology | 115-10 Queens Blvd, Forest Hills, NY 11375-7060 | 2006-01-12 |
| 1124013990 | Marina Neystat | Psychiatry & Neurology | 10124 Queens Blvd, Suite A, Forest Hills, NY 11375-2703 | 2005-09-16 |
| 1306460688 | Carlilse Stmartin Md PC | Psychiatry & Neurology | 11510 Queens Blvd, Forest Hills, NY 11375-7015 | 2020-06-03 |
| 1346473071 | Kishan A Patel | Psychiatry & Neurology | 11247 Queens Blvd, Suite 206, Forest Hills, NY 11375-7417 | 2009-08-28 |
| 1316107147 | Maria Dolgovina | Psychiatry & Neurology | 10124 Queens Blvd Ste A, Forest Hills, NY 11375-2779 | 2008-06-16 |
| 1790957835 | Carlisle L. St. Martin, Md, Pa | Psychiatry & Neurology | 11510 Queens Blvd, Forest Hills, NY 11375-7060 | 2008-03-28 |
| 1548380892 | Yelena Amitina | Psychiatry & Neurology | 11120 Queens Blvd, Forest Hills, NY 11375-6303 | 2007-03-30 |
| 1326128034 | Enrico Fazzini, D.o., P.c | Psychiatry & Neurology | 108-14 72nd Avenue, 2nd Floor, Forest Hills, NY 11375 | 2006-10-17 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
Please comment or provide details below to improve the information on ENRICO FAZZINI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.