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Anthony Fasulo
Student in an Organized Health Care Education/Training Program in Central Islip, New York
NPI 1497420863

Anthony Fasulo is a Student in an Organized Health Care Education/Training Program based in Huntington, NY. Anthony Fasulo practices in Central Islip, NY. The NPI Number for Anthony Fasulo is 1497420863 and holds a License No. (New York).

The current practice location address for Anthony Fasulo is 320 Carleton Ave, Central Islip, NY and can be reached out via phone at 631-663-4300.

Location: 320 Carleton Ave, Central Islip, NY, 11743-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497420863
Provider Name
Anthony Fasulo
Credential
Provider Entity Type
Individual
Gender
Male
Address
320 Carleton Ave, Central Islip, NY, 11743-4516
Phone Number
631-663-4300
Fax Number
Provider Enumeration Date
08/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
320 Carleton Ave
City
Central Islip
State
New York
Zip
11722-4506
Phone Number
631-663-4300
Fax Number
person
Provider Business Mailing Address Details
Address
320 Carleton Ave
City
Central Islip
State
New York
Zip
11722-4506
Phone Number
631-663-4300
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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