NPI 1528059045 · live from the CMS NPI Registry
Hilary Fazzone, MD
Ophthalmology in Mt. Vernon, NY. National Provider Identifier 1528059045, active.
NPI record
| NPI | 1528059045 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 202 Stevens Ave, Mignone Medical Eye Care PC, Mt. Vernon, NY 10550 |
| Practice phone | 914-664-6001 |
| Mailing address | 400 Columbus Ave, Credentialing Specialist, New Haven, CT 06519 |
| Enumerated | November 3, 2005 |
| Last updated | September 6, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 215120 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.