JOANNA FASULO

PATCHOGUE, NY
NPI1710997283
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy111N00000X Chiropractor
(Licence: NY  X006462)
Enumeration Date2006-08-08
Last Update Date2007-07-08
Business Address
-- JOANNA FASULO d.c.
680 MEDFORD AVE STE C
PATCHOGUE, NY 11772-1344
Phone number: 631-289-3939
Mailing Address
-- JOANNA FASULO d.c.
680 MEDFORD AVE STE C
PATCHOGUE, NY 11772-1344
Phone number: 631-289-3939
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