Individual
DR. ANDREW FASANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2073 NEWBRIDGE RD, BELLMORE, NY 11710-2222
(516) 781-9898
(516) 781-9702
Mailing address
2073 NEWBRIDGE RD, BELLMORE, NY 11710-2222
(516) 781-9898
(516) 781-9702
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
217705
NY
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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