Individual
JULIE A FASOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
346 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 856-7500
(716) 856-7502
Mailing address
85 CARRIAGE DR APT 7, ORCHARD PARK, NY 14127-1822
(716) 667-9200
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
514977-1
NY
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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