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

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