Enrico Fazzini, D.O., P.C

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

157518 Issued in NY

Legal business name

ENRICO FAZZINI, D.O., P.C

Practice address

108-14 72ND Avenue
2ND Floor
Forest Hills, NY 11375

Phone

(718) 263-5600

NPI assigned

Oct 17, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Enrico Fazzini, D.ONPI 1407883150

Title

Director

Phone

(718) 263-5600

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Emerald City Medical PC

  • Physical Therapy Clinic/Center
  • New York, NY
  • NPI 1295374965
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Enrico Fazzini, DO

  • Neurology Physician
  • Forest Hills, NY
  • NPI 1407883150
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326128034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108-14 72ND AVENUE",
            "address_2": "2ND FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-263-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108-14 72ND AVENUE",
            "address_2": "2ND FLOOR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-263-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICO FAZZINI, D.O., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FAZZINI",
        "authorized_official_first_name": "ENRICO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-263-5600",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "157518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Encarnacion-Tufino
• Rosanni Encarnacion
• Markos Alamirew Endalew, MD
• Endoscopic Surgery of Ny PC
• Energy Acupuncture, P.C.
• Anthony Peter Enriquez
• Maria Lilibeth Enriquez, PT
• Evangelia Eracleous
• Gabriella Erales
• Kambiz Erfanian-Taheri, DDS

• Neurology Physician in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.