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John A. Facchin, O.d.
Durable Medical Equipment & Medical Supplies in Massapequa, New York
NPI 1871776450

John A. Facchin, O.d. is a Durable Medical Equipment & Medical Supplies based in Massapequa, NY. John A. Facchin, O.d. practices in Massapequa, NY. The NPI Number for John A. Facchin, O.d. is 1871776450 and holds a License No. 0978400001 (New York).

The current practice location address for John A. Facchin, O.d. is 111 Grand Ave, Massapequa, NY and can be reached out via phone at 516-798-2635.

Location: 111 Grand Ave, Massapequa, NY, 11758-5718
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1871776450
Provider Name
John A. Facchin, O.d.
Credential
Provider Entity Type
Organization
Address
111 Grand Ave, Massapequa, NY, 11758-5718
Phone Number
516-798-2635
Fax Number
Provider Enumeration Date
12/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01474419 05 NY
institution
Provider Business Practice Location Address Details
Address
111 Grand Ave
City
Massapequa
State
New York
Zip
11758-4905
Phone Number
516-798-2635
Fax Number
person
Provider Business Mailing Address Details
Address
111 Grand Ave
City
Massapequa
State
New York
Zip
11758-4905
Phone Number
516-798-2635
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
0978400001 (New York)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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