Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SEBASTIAN SALVATORE FASANELLO, MD
Active Sole ProprietorDR. SEBASTIAN SALVATORE FASANELLO, MD is a Residential Treatment, Emotionally Disturbed Children healthcare provider located in LACKAWANNA, New York. NPI 1821218819 is currently active in the NPPES registry. Verify at CMS.
Residential Treatment, Emotionally Disturbed Children · LACKAWANNA, NY
Registration Details
- NPI Number
- 1821218819
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2007 (19.33255775411 yrs)
- Last Updated
- Jul 8, 2007
- License
-
090320 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
150 MARTIN RDLACKAWANNA, NY, 142182708Browse NY providers · Browse ZIP 14218
- Phone
- 7168289811
- Fax
- 7168289363
- Primary Specialty
-
Residential Treatment, Emotionally Disturbed Children
322D00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.