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Emma Rose Fasolino
Student in an Organized Health Care Education/Training Program in Cutchogue, New York
NPI 1154031102

Emma Rose Fasolino is a Student in an Organized Health Care Education/Training Program based in Cutchogue, NY. Emma Rose Fasolino practices in Cutchogue, NY. The NPI Number for Emma Rose Fasolino is 1154031102 and holds a License No. (New York).

The current practice location address for Emma Rose Fasolino is 2260 Duck Pond Rd, Cutchogue, NY and can be reached out via phone at 631-830-1634.

Location: 2260 Duck Pond Rd, Cutchogue, NY, 11935-1806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154031102
Provider Name
Emma Rose Fasolino
Credential
Provider Entity Type
Individual
Gender
Female
Address
2260 Duck Pond Rd, Cutchogue, NY, 11935-1806
Phone Number
631-830-1634
Fax Number
Provider Enumeration Date
11/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2260 Duck Pond Rd
City
Cutchogue
State
New York
Zip
11935-1806
Phone Number
631-830-1634
Fax Number
person
Provider Business Mailing Address Details
Address
2260 Duck Pond Rd
City
Cutchogue
State
New York
Zip
11935-1806
Phone Number
631-830-1634
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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