Individual ProviderKristen Alison FazioSpecialistOther Service ProvidersPractice Address192 Tower Dr, Middletown, NY 10941-2056(845) 692-4391PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Alison Fazio does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1285094219Provider TypeIndividualFull NameFazio, Kristen AlisonGenderFemaleSole ProprietorNoEnumeration Date3/3/2016Last Updated3/3/2016Contact InformationPractice LocationPractice Address192 Tower Dr, Middletown, NY 10941-2056Phone(845) 692-4391FaxUnlisted FaxMailing LocationMailing Address192 Tower Dr, Middletown, NY 10941-2056Phone(845) 692-4391FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode174400000XPrimaryDescriptionSpecialistOther Service ProvidersLicenseUnlisted Issuer