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Mr. Sam M Fassnacht
Medical Physician Assistant in Patchogue, New York
NPI 1558670463

Sam M Fassnacht is a Medical Physician Assistant based in Patchogue, NY and is specialized in Medical. Sam M Fassnacht practices in Patchogue, NY. The NPI Number for Sam M Fassnacht is 1558670463 and holds a License No. (New York).

The current practice location address for Sam M Fassnacht is 130 Medford Ave, Patchogue, NY and can be reached out via phone at 631-475-5734.

Location: 130 Medford Ave, Patchogue, NY, 11772-1206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558670463
Provider Name
Sam M Fassnacht
Credential
Provider Entity Type
Individual
Gender
Male
Address
130 Medford Ave, Patchogue, NY, 11772-1206
Phone Number
631-475-5734
Fax Number
Provider Enumeration Date
09/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 Medford Ave
City
Patchogue
State
New York
Zip
11772-1206
Phone Number
631-475-5734
Fax Number
person
Provider Business Mailing Address Details
Address
130 Medford Ave
City
Patchogue
State
New York
Zip
11772-1206
Phone Number
631-475-5734
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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