Individual
GINA FASSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
307 EAGLE AVE, WEST HEMPSTEAD, NY 11552-3819
(516) 986-9580
Mailing address
24 BORDER LN, LEVITTOWN, NY 11756-3002
(167) 291-1635
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008744-01
NY
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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