- Practice location
- 800 Veterans Hwy, Hauppauge, NY 11788-2948
- Phone
- 646-227-3275
- Fax
- —
- Last updated
- July 8, 2007
Jennifer L Defazio is a Dermatology based in Hauppauge, NY. Jennifer L Defazio practices in Hauppauge, NY and has the professional credentials of MD. The NPI Number for Jennifer L Defazio is 1255443925 and holds a License No. 240844 (NY). The current practice location address for Jennifer L Defazio is 800 Veterans Hwy, Hauppauge, NY 11788-2948 and can be reached out via phone at 646-227-3275.
Provider Profile Details
- NPI Number
- 1255443925
- Provider Name
- Jennifer L Defazio
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 800 Veterans Hwy, Hauppauge, NY 11788-2948
- Phone Number
- 646-227-3275
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 31, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 800 Veterans Hwy
Hauppauge, NY 11788-2948 - City
- Hauppauge
- State
- New York
- Zip
- 11788-2948
- Phone Number
- 646-227-3275
Provider Business Mailing Address Details
- Address
- 633 3RD Ave
Box 3
New York, NY 10017-6706 - City
- New York
- State
- NY
- Zip
- 10017-6706
License Information
- License Number
- 240844
- License State
- NY
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jennifer L Defazio, MD?
The NPI number of Jennifer L Defazio, MD is 1255443925. It was assigned on August 31, 2006 and is currently active in the NPPES registry.
What is the specialty of Jennifer L Defazio, MD?
Jennifer L Defazio, MD is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NY under license number 240844.
Where does Jennifer L Defazio, MD practice?
The practice location is 800 Veterans Hwy, Hauppauge, NY 11788-2948. The office can be reached at 646-227-3275 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255443925 directly on the NPPES registry website.