Individual
MS. ANNMARIE JUDITH FASANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.M.S.
Contact information
Practice address
537 74TH ST, BROOKLYN, NY 11209-2613
(718) 207-4853
Mailing address
537 74TH ST, BROOKLYN, NY 11209-2613
(718) 207-4853
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
109145
NY
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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