CHARLES TIMOTHY FASANYA

MIDDLETOWN, NY
NPI1710149356
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2086S0102X Surgery, Surgical Critical Care
(Licence: NY  254698)
Additional Taxonomies208600000X Surgery
(Licence: NJ  25MA08347800)
Enumeration Date2008-06-25
Last Update Date2018-04-02
Business Address
Dr. CHARLES TIMOTHY FASANYA M.D
707 E MAIN ST
MIDDLETOWN, NY 10940-2650
Phone number: 845-333-7575
Mailing Address
Dr. CHARLES TIMOTHY FASANYA M.D
707 E MAIN ST
MIDDLETOWN, NY 10940-2650
Phone number: 845-333-1114