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THERESA LYNNE FAZZOLARI P.A.
NPI 1659628717
Physician Assistant in Brooklyn, NY

Active since August 08, 2012
150 55TH ST, BROOKLYN, NY 11220(718) 630-7000 Get Directions Write a Review

NPPES record last updated: August 8, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa Lynne Fazzolari P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESA LYNNE FAZZOLARI P.A. (NPI 1659628717) is an individual physician assistant in Brooklyn, New York, licensed in New York (004688) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1659628717
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA LYNNE FAZZOLARICredential: P.A.
Location Address150 55TH STBrooklyn, NY 11220-2508
Mailing Address150 55th StBrooklyn, NY 11220-2508
Phone(718) 630-7000
Sole ProprietorYes
Enumeration DateAugust 8, 2012
✔ NPI 1659628717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 004688
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
150 55TH ST, Brooklyn, NY 11220
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ADNAN HUSSAIN MD
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Kings County (718) 630-6373
MATTHEW THRUN-NOWICKI MD
Psychiatry & Neurology (Psychiatry)
150 55TH ST
BROOKLYN, NY 11220
Kings County (718) 630-7000
BARBARA BORTLE-GAINEY RPH
Pharmacist (Oncology)
150 55TH ST
BROOKLYN, NY 11220
Kings County (718) 630-7050
MRS. KAROLINA WALASEK FNP
Nurse Practitioner (Primary Care)
150 55TH ST
BROOKLYN, NY 11220
Kings County (718) 630-7525
WENDY KONG MPH, PA-C
Physician Assistant
150 55TH ST
BROOKLYN, NY 11220
Kings County (718) 630-7000
CHRISTINE LEE
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Kings County (718) 630-7000
ERICA L YOX
Student in an Organized Health Care Education/Training Program
150 55TH ST
BROOKLYN, NY 11220
Kings County (718) 630-7000
AMARPREET S BAINS M.D.
Hospitalist
150 55TH ST
BROOKLYN, NY 11220
Kings County (718) 630-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Fazzolari's NPI number?

The NPI number for Theresa Fazzolari is 1659628717. It was assigned to this individual provider in the NPPES registry on August 8, 2012.

Where is Theresa Fazzolari located?

Theresa Fazzolari practices at 150 55th St, Brooklyn, NY 11220. The listed phone number is (718) 630-7000.

What is Theresa Fazzolari's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Theresa Fazzolari was last updated on August 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.