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

Mr. Sam M Fassnacht

Individual provider Medical Physician Assistant · NPI 1558670463

Mr. Sam M Fassnacht is a Medical Physician Assistant in Patchogue, New York. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

130 Medford Ave
Patchogue, NY 11772-1206
Phone: (631) 475-5734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1558670463
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 27, 2010
Last updated in NPPESDecember 28, 2016

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