Individual provider · Type 1 NPI
Joseph A. Fasano, NP
Adult Health Nurse Practitioner · Bay Shore, NY
NPI number
1457540601
Active
Practice location
280 Montauk Highway
Bay Shore, NY 11706-9182
Fax (631) 758-1984
Mailing address
554 Larkfield Rd, Ste 10A
East Northport, NY 11731-4205
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F304658-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1457540601
Joseph A. Fasano, NP's National Provider Identifier is 1457540601, issued on Oct 23, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Bay Shore, NY. The record was last updated on Jan 25, 2016.