Individual provider · Type 1 NPI

Matthew Fasano

Licensed Practical Nurse · Staten Island, NY

NPI number 1992166342 Active

Practice location

47 Jerome Ave
Staten Island, NY 10305-3601

Call (917) 450-3191 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X315121 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1992166342

Matthew Fasano's National Provider Identifier is 1992166342, issued on Mar 13, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Mar 13, 2016.