Individual
MS. ALASEDA FASENNTAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
982 MAIN ST, #151, FISHKILL, NY 12524-3506
(914) 475-4005
Mailing address
982 MAIN ST, #151, FISHKILL, NY 12524-3506
(914) 475-4005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
401135
NY
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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