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

Tara Fazio

Individual provider Acupuncturist · NPI 1104293190

Tara Fazio is an Acupuncturist in Selden, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2015
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Practice location Address checks out

57 Van Brunt Ave
Selden, NY 11784-4021
Phone: (631) 241-7849
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 005294 (NY)

Record details

NPI number1104293190
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 26, 2015
Last updated in NPPESAugust 26, 2015
Mailing address57 Van Brunt Ave, Selden, NY 11784-4021

Other providers in Selden