ALEXIS FASANO

STATEN ISLAND, NY
NPI1164885752
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: NY  025321-1)
Enumeration Date2016-03-31
Last Update Date2016-03-31
Business Address
-- ALEXIS FASANO M.A., CCC-SLP
47 JEROME AVE
STATEN ISLAND, NY 10305-3601
Phone number: 917-681-6324
Mailing Address
-- ALEXIS FASANO M.A., CCC-SLP
47 JEROME AVE
STATEN ISLAND, NY 10305-3601
Phone number: 917-681-6324