Individual
FRANK FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
664 STONELEIGH AVE STE 300, SOMERS ORTHOPAEDIC SURGERY & SPORTS MED GROUP PLLC, CARMEL, NY 10512-3990
(845) 278-8400
(845) 278-4326
Mailing address
664 STONELEIGH AVE STE 300, SOMERS ORTHOPAEDIC SURGERY & SPORTS MED GROUP PLLC, CARMEL, NY 10512-3990
(845) 278-8400
(845) 278-4326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1910
CT
363AS0400X
Surgical Physician Assistant
Primary
P55922
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
97F24CJ511
MEDICARE PIN
NY
Enumeration date
02/27/2007
Last updated
02/12/2019
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