Individual provider · Type 1 NPI

Anthony Fasulo

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

NPI number 1497420863 Active

Practice location

320 Carleton Ave
Central Islip, NY 11722-4506

Call (631) 663-4300 Map

Mailing address

790 Park Ave
Huntington, NY 11743-4516

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.

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About NPI 1497420863

Anthony Fasulo's National Provider Identifier is 1497420863, issued on Aug 9, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Central Islip, NY. The record was last updated on Aug 9, 2021.