National Provider Identifier
Dana L. Fazzolari
Dana L. Fazzolari is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Eden, NY and a listed phone number of (716) 992-3610.
Profile Overview
- NPI
- 1538444088
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- October 17, 2011
- Last Updated
- October 17, 2011
Practice Location
- 3000 Schoolview RD
- Eden, NY 14057-1117
Phone: (716) 992-3610
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1538444088
- Entity Type
- Individual
- Last Name
- Fazzolari
- First Name
- Dana
- Middle Name
- L.
- Name Prefix
- Mrs.
- Mailing Street Address
- 3000 Schoolview RD
- Mailing City
- Eden
- Mailing State
- NY
- Mailing ZIP Code
- 14057-1117
- Mailing Country
- US
- Mailing Phone
- (716) 992-3610
- Practice Street Address
- 3000 Schoolview RD
- Practice City
- Eden
- Practice State
- NY
- Practice ZIP Code
- 14057-1117
- Practice Country
- US
- Practice Phone
- (716) 992-3610
- Enumeration Date
- October 17, 2011
- Last Updated
- October 17, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)