Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John R Fazio, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1619960721

Dr. John R Fazio, MD is an Anatomic Pathology & Clinical Pathology Physician in Syracuse, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4900 Broad Rd Pathology Dept
Syracuse, NY 13215-2265
Phone: (315) 492-5096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 191793 (NY)

Record details

NPI number1619960721
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 24, 2005
Last updated in NPPESSeptember 12, 2007
Mailing address4567 Crossroads Park Dr, 2nd Fl, Liverpool, NY 13088-3589

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