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NPI Code Detail

MEDICARE: SANTO FIASCONARO M.D.

MEDICARE:   SANTO  FIASCONARO  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician133854NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1447274238
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANTO FIASCONARO M.D.
Provider Business Mailing Address
First Line : 7502 COLONIAL RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-2906
Country : US
Telephone Number : 718-748-8484
Fax Number : 718-680-2011
Provider Business Practice Location Address
First Line : 7502 COLONIAL RD
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-2906
Country : US
Telephone Number : 718-748-8484
Fax Number : 718-680-2011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 01/06/2015

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Directions to “ SANTO FIASCONARO M.D.” Practice Location

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