Individual provider · Type 1 NPI

Nicholas Fasano, DPT

Pediatric Physical Therapist · Staten Island, NY

NPI number 1942953575 Active

Practice location

962 Manor Rd
Staten Island, NY 10314-7041

Call (718) 494-2724 Map

Mailing address

572 16th St
Brooklyn, NY 11218-1201

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist Primary 2251P0200XNone listed

Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…

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About NPI 1942953575

Nicholas Fasano, DPT's National Provider Identifier is 1942953575, issued on Feb 2, 2022. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Staten Island, NY. The record was last updated on Feb 2, 2022.