Individual provider · Type 1 NPI

Emma Rose Fasolino

Student in an Organized Health Care Education/Training Program · Cutchogue, NY

NPI number 1154031102 Active

Practice location

2260 Duck Pond Rd
Cutchogue, NY 11935-1806

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

About NPI 1154031102

Emma Rose Fasolino's National Provider Identifier is 1154031102, issued on Nov 30, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cutchogue, NY. The record was last updated on Nov 30, 2022.