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SAM FASSNACHT

Medical Physician Assistant

NPI: 1558670463Individual

Specialties, Licenses & Credentials

Physician Assistant — Medical

Code: 363AM0700X

Contact & Hours

Address
130 MEDFORD AVE
PATCHOGUE, NY 11772

Quick Facts

NPI
1558670463
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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