Individual
ALEX FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 JOHNSON ST, STATEN ISLAND, NY 10309-1148
(718) 967-0317
Mailing address
8 JOHNSON ST, STATEN ISLAND, NY 10309-1148
(718) 967-0317
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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