Individual
DR. CATHERINE M. FASCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
505 WESTBURY AVE, CARLE PLACE, NY 11514-1736
(516) 333-1166
(516) 333-2267
Mailing address
505 WESTBURY AVE, CARLE PLACE, NY 11514-1736
(516) 333-1166
(516) 333-2267
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042360-1
NY
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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