MEDICARE: MARIO J FRACASSA MD

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
1	207W00000X	Ophthalmology Physician	102903	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	CB2940	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1780681478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIO J FRACASSA MD

Provider Business Mailing Address
First Line	:	825 E GATE BLVD STE 111
Second Line	:
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-2136
Country	:	US
Telephone Number	:	516-804-5200
Fax Number	:	516-240-6540

Provider Business Practice Location Address
First Line	:	732 OLD COUNTRY RD
Second Line	:	PLAINVIEW
City	:	PLAINVIEW
State	:	NY
Zip	:	11803-4929
Country	:	US
Telephone Number	:	516-822-3911
Fax Number	:	516-822-3983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	09/09/2019

Similar Medicare Providers

1215197991 — MEDISOURCE PHARMACY LLC
Practice Location Address:

720 OLD COUNTRY RD
PLAINVIEW, NY
11803-4929

Practice Phone: 516-605-0080
Practice Fax: 516-605-0077

1235137480 — BRIGITTE ROCHE RIZZO NP
Practice Location Address:

750 OLD COUNTRY RD
PLAINVIEW, NY
11803-4929

Practice Phone: 516-513-0616
Practice Fax: 516-513-0617

1669470498 — RONALD J LOPINTO MD
Practice Location Address:

732 OLD COUNTRY RD
PLAINVIEW, NY
11803-4929

Practice Phone: 516-822-3911
Practice Fax: 516-822-3983

1447295571 — MR. FREDERICK DAVID KAPLAN M.D.
Practice Location Address:

750 OLD COUNTRY RD
PLAINVIEW, NY
11803-4929

Practice Phone: 516-937-6620
Practice Fax:

1720002595 — DR. CHANCHAL K SAHA M. D.
Practice Location Address:

754 OLD COUNTRY RD
PLAINVIEW, NY
11803-4929

Practice Phone: 516-931-0182
Practice Fax: 516-681-2312

1336355643 — RONALD J LOPINTO MD PC
Practice Location Address:

732 OLD COUNTRY RD
PLAINVIEW, NY
11803-4929

Practice Phone: 516-822-3911
Practice Fax: 516-822-3983

Directions to “ MARIO J FRACASSA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.