670 ROUTE 14, PENN YAN, 14527, NEW YORK
| Entity Name | RICHARD A. FAZIO MD, P.C. |
| Entity Number | 1733279 |
| Status | ACTIVE |
| Incorporation Date | 9th June 1993 |
| Dos Process Address | 82 JOHANNA LN, STATEN ISLAND, 10309, NEW YORK |
| Jurisdiction | NEW YORK |
| County | RICHMOND |
| Legal form | DOMESTIC PROFESSIONAL CORPORATION |