Individual
SANTO FIASCONARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7502 COLONIAL RD, BROOKLYN, NY 11209-2906
(718) 748-8484
(718) 680-2011
Mailing address
7502 COLONIAL RD, BROOKLYN, NY 11209-2906
(718) 748-8484
(718) 680-2011
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
133854
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00447287
—
NY
Enumeration date
07/26/2006
Last updated
01/06/2015
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