Individual
MRS. TAYLOR JEAN FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
60 QUEENS ST, SYOSSET, NY 11791-3058
(516) 864-0040
Mailing address
60 QUEENS ST, SYOSSET, NY 11791-3058
(516) 864-0040
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
347103
NY
Other
Enumeration date
04/15/2021
Last updated
01/20/2026
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