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Contact Information

JAMIE DEFAZIO
3755 U.S. HIGHWAY 20
RICHFIELD SPRINGS, NY13439
 Phone: 845-332-6810
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for JAMIE DEFAZIO

NPI # 1639535529
LBN Legal business name JAMIE DEFAZIO
Authorized official JAMIE DEFAZIO - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2016
Last updated 01/07/2016 - About 10 years ago
Identifiers
NY License # 648245377
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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