Dr JENNIFER L DEFAZIO MD is a female medical professional, specializing in Dermatology. She graduated in 2002 from State University Of New York At Buffalo School Of Medicine.
MEMORIAL SLOAN-KETTERING CANCER CENTER SUFFOLK AT HAUPPAUGE
800 VETERANS MEMORIAL HWY
HAUPPAUGE
NY
117882948
Tel: 6318635100
| Npi | 1255443925 |
| Pac Id | 6507862331 |
| Professional Enrollment Id | I20061018000253 |
| Last Name | DEFAZIO |
| First Name | JENNIFER |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DERMATOLOGY |
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| Organization Legal Name | MEMORIAL SLOAN-KETTERING CANCER CENTER SUFFOLK AT HAUPPAUGE |
| Group Practice Pac Id | 1951292408 |
| Number Of Group Practice Members | 6 |
| Line 1 Street Address | 800 VETERANS MEMORIAL HWY |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | HAUPPAUGE |
| State | NY |
| Zip Code | 117882948 |
| Phone Number | 6318635100 |
| Hospital Affiliation Ccn 1 | 330154 |
| Hospital Affiliation Lbn 1 | MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES |
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| Professional Accepts Medicare Assignment | Y |
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