MATTHEW FASANO

STATEN ISLAND, NY
NPI1992166342
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  315121)
Enumeration Date2016-03-13
Last Update Date2016-03-13
Business Address
-- MATTHEW FASANO
47 JEROME AVE
STATEN ISLAND, NY 10305-3601
Phone number: 917-450-3191
Mailing Address
-- MATTHEW FASANO
47 JEROME AVE
STATEN ISLAND, NY 10305-3601
Phone number: 917-450-3191
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