National Provider Identifier
Lillian Catherine-Rose Fazi
Lillian Catherine-Rose Fazi is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Bath, NY and a listed phone number of (607) 664-2348.
Profile Overview
- NPI
- 1376284737
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 07, 2022
- Last Updated
- December 18, 2024
Practice Location
- 115 Liberty St
- Bath, NY 14810-1508
Phone: (607) 664-2348
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1376284737
- Entity Type
- Individual
- Last Name
- Fazi
- First Name
- Lillian
- Middle Name
- Catherine-Rose
- Mailing Street Address
- 115 Liberty St
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1508
- Mailing Country
- US
- Practice Street Address
- 115 Liberty St
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1508
- Practice Country
- US
- Practice Phone
- (607) 664-2348
- Enumeration Date
- April 07, 2022
- Last Updated
- December 18, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 18, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X), Mental Health Counselor (101YM0800X)