Individual
CAROLINE FASANELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
134 HOMER AVE, CORTLAND, NY 13045-1206
(607) 756-3500
Mailing address
1 ELY PARK BLVD APT 53-3, BINGHAMTON, NY 13905-1450
(631) 764-2961
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
33340867
NY
Other
Enumeration date
07/24/2016
Last updated
07/24/2016
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