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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW FASANO

Active Sole Proprietor

MATTHEW FASANO is a Licensed Practical Nurse healthcare provider located in STATEN ISLAND, New York. NPI 1992166342 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · STATEN ISLAND, NY

Registration Details

NPI Number
1992166342
Provider Type
Individual
Gender
Male
NPI Issued
Mar 13, 2016 (10.448006162292 yrs)
Last Updated
Mar 13, 2016
License
315121 (NY)
Sole Proprietor
Yes

Practice Information

Address
47 JEROME AVE
STATEN ISLAND, NY, 103053601
Browse NY providers · Browse ZIP 10305
Phone
9174503191
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in STATEN ISLAND, NY

Name Credential NPI
AZIZA HANKINS LPN 1922146711
GLORIA BEATTY LPN 1306066675
EDITA D LALUCES LPN 1134339807
JENNIFER HERNANDEZ LPN 1023229515
VERA SINA LPN 1184835688
MAUREEN NEMBHARDT LPN 1275736472
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.