Individual
DR. JULIE FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1176 5TH AVE, NEW YORK, NY 10029-6503
(855) 863-8246
(646) 537-8610
Mailing address
1 GUSTAVE L LEVY PL, BOX 3000, NEW YORK, NY 10029-6504
(212) 987-3100
(212) 731-5210
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
235759
NY
207RX0202X
Medical Oncology Physician
Primary
235759
NY
Other
Enumeration date
04/01/2008
Last updated
03/15/2019
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