Individual
MRS. PATRICIA FASANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
192 GUYON AVE, STATEN ISLAND, NY 10306-3943
(718) 980-9828
(718) 979-4291
Mailing address
192 GUYON AVE, STATEN ISLAND, NY 10306-3943
(718) 980-9828
(718) 979-4291
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
F420334
NY
Other
Enumeration date
12/13/2005
Last updated
07/08/2007
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