Individual
MARIANNE T FASSINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
472 GLEN DR, SHIRLEY, NY 11967-1128
(631) 830-2510
Mailing address
472 GLEN DR, SHIRLEY, NY 11967-1128
(631) 830-2510
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
Primary
22424986
NY
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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