Individual
MS. NANCY FASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
13401 ROCKAWAY BEACH BLVD, BELLE HARBOR, NY 11694-1450
(718) 474-0045
Mailing address
431 OCEANSIDE AVE, BREEZY POINT, NY 11697-1923
(718) 474-6297
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
005949-1
NY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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