Individual
JOEL FASCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
8 LIVINGSTON ST STE 11, RHINEBECK, NY 12572-1556
(845) 876-8994
Mailing address
353 OLD ROUTE 209, HURLEY, APO, AA 12443
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006301-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006301-1
NY LICENSE
NY
01
—
167036
NCCAOM
—
Enumeration date
03/26/2019
Last updated
03/26/2019
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