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1164885752
ALEXIS FASANO
STATEN ISLAND, NY
NPI
1164885752
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: NY 025321-1)
Enumeration Date
2016-03-31
Last Update Date
2016-03-31
Business Address
-- ALEXIS FASANO M.A., CCC-SLP
47 JEROME AVE
STATEN ISLAND, NY 10305-3601
Phone number: 917-681-6324
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Mailing Address
-- ALEXIS FASANO M.A., CCC-SLP
47 JEROME AVE
STATEN ISLAND, NY 10305-3601
Phone number: 917-681-6324
Copy
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