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1255847679
JESSICA FASSANO
NEW HYDE PARK, NY
NPI
1255847679
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY F382804-1)
Enumeration Date
2017-12-21
Last Update Date
2017-12-21
Business Address
JESSICA FASSANO CPNP-BC
26901 76TH AVE
NEW HYDE PARK, NY 11040-1433
Phone number: 718-470-3956
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Mailing Address
JESSICA FASSANO CPNP-BC
6822 MADELINE CT
BROOKLYN, NY 11220-5807
Phone number: 718-808-5936
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