Individual
CRISTINA MARIE FASOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPS
Contact information
Practice address
57 WHITEWOOD AVE, NEW ROCHELLE, NY 10805-1209
(914) 552-1464
Mailing address
57 WHITEWOOD AVE, NEW ROCHELLE, NY 10805-1209
(914) 552-1464
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/02/2017
Last updated
07/21/2022
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