MR. Robert William Fasano, LMSW

NPI #1013190495 in Syosset, New York

Provider Information

NPI Number
1013190495
Entity Type
Individual
Name
MR. Robert William Fasano, LMSW
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
LMSW
Enumeration Date
Dec 9, 2007
Last Updated
Dec 9, 2007

Practice Location

Address
175 JERICHO TPKE
Address 2
SUITE 115
ZIP Code
11791-4532
Phone
(516) 359-0561

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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