National Provider Identifier

Elizabeth Fazio

Elizabeth Fazio is listed in the NPPES registry with a primary specialty of Local Education Agency (LEA) in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1558801530Kenmore, NYLocal Education Agency (LEA)

Profile Overview

NPI
1558801530
Provider Type
Individual
Primary Specialty
Local Education Agency (LEA)
Enumeration Date
February 24, 2017
Last Updated
February 24, 2017

Practice Location

  • 3767 Delaware Ava
  • Kenmore, NY 14217

Phone: (716) 874-6175

Mailing Address

  • 402 Villias Drive East
  • 402
  • Amherst, NY 14228

Specialties

  • Local Education Agency (LEA) (251300000X)
Full Record
NPI
1558801530
Entity Type
Individual
Last Name
Fazio
First Name
Elizabeth
Mailing Street Address
402 Villias Drive East
Mailing Address Line 2
402
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228
Mailing Country
US
Practice Street Address
3767 Delaware Ava
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
February 24, 2017
Last Updated
February 24, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Local Education Agency (LEA) (251300000X)