JOSEPH A FASANO

BAY SHORE, NY
NPI1457540601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  F304658-1)
Enumeration Date2007-10-23
Last Update Date2016-01-25
Business Address
Mr. JOSEPH A FASANO NP
280 MONTAUK HIGHWAY
BAY SHORE, NY 11706-9182
Phone number: 631-758-4444
Mailing Address
Mr. JOSEPH A FASANO NP
554 LARKFIELD RD STE 10A
EAST NORTHPORT, NY 11731-4205
Phone number: 631-239-1974
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