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

Fabiola Gazoni De Souza, MD

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1558793422

Fabiola Gazoni De Souza, MD is a Pathology in Flushing, New York. Practices with Greenwich Pathology Associates LLC, an 8-clinician group and accepts Medicare assignment. Licensed in New York.

Licensed in
NY
In the registry since
2013
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

5645 Main St
Flushing, NY 11355-5045
Phone: (718) 670-1341
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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 268167 (NY)

Record details

NPI number1558793422
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2013
Last updated in NPPESJanuary 9, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Group practice Greenwich Pathology Associates Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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