Christine Diana Fazio
Counselor (Mental Health)

Address: 156 Russell St Apt 2r, Brooklyn, NY 11222-6401
Phone: 6462069532

Christine Diana Fazio (NPI# 1770180309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1770180309
Entity Type Individual
Full Name Christine Diana Fazio
Credential LMHC
Gender Female
Practice Address 156 Russell St Apt 2r
NY 11222-6401
Practice Telephone 6462069532
Mailing Address 156 Russell St Apt 2r
NY 11222-6401
Mailing Telephone 6462069532
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-10-06
Last Update Date 2020-10-06

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 101YP2500X Counselor · Professional Behavioral Health & Social Service Providers 37PC00721400 NJ
Yes 101YM0800X Counselor · Mental Health Behavioral Health & Social Service Providers 007448 NY

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 156 RUSSELL ST APT 2R
State NY
Zip Code 11222-6401

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972073153 Fizza Saeed Chiropractor 153 Greenpoint Ave, Brooklyn, NY 11222 2018-11-29
1659819977 Sylwia Agnieszka Arancibia Occupational Therapy Assistant 47 Monitor St, Apt.1, Brooklyn, NY 11222 2017-02-07
1629524467 Natalya Meykson Licensed Practical Nurse 595 Morgan Ave, 2nd Floor, Brooklyn, NY 11222 2016-08-31
1831556539 Norma Jenkins Registered Nurse 131 Norman Avenue, Brooklyn, NY 11222 2016-01-26
1255737821 Shenell Evans Psychologist 231 Norman Ave Ste 212, Brooklyn, NY 11222 2014-11-10
1952728883 Thomas Hays Pediatrics 41 Hausman St, Brooklyn, NY 11222 2014-03-28
1386079895 Marissa Moore Counselor 252 Java St Ste 326, Brooklyn, NY 11222 2013-09-04
1619317401 Stewart Lee Morales Health Educator 198 Calyer St., #1l, Brookklyn, NY 11222 2013-06-26
1871936534 Reena Thomas Family Medicine 833 Manhattan Ave, Brooklyn, NY 11222 2013-04-12
1538419346 Cvs Albany LLC Durable Medical Equipment & Medical Supplies 859 Manhattan Ave, Brooklyn, NY 11222 2012-09-19
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Zip Code 11222

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.