Anthony Fasulo
NPI #1497420863 in Central Islip, New York
Provider Information
- NPI Number
- 1497420863
- Entity Type
- Individual
- Name
- Anthony Fasulo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Aug 9, 2021
- Last Updated
- Aug 9, 2021
Practice Location
- Address
- 320 CARLETON AVE
- City
- Central Islip
- State
- New York
- ZIP Code
- 11722-4506
- Phone
- (631) 663-4300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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