Individual
YVONNE FASONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.P.A.-C
Contact information
Practice address
5010 STATE HIGHWAY 30, SUITE G-02, AMSTERDAM, NY 12010-7532
(518) 842-0017
(518) 842-7545
Mailing address
5010 STATE HIGHWAY 30, SUITE G-02, AMSTERDAM, NY 12010-7532
(518) 842-0017
(518) 842-7545
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002636-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02047565
—
NY
Enumeration date
08/11/2006
Last updated
07/08/2007
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