DR. Sebastian Salvatore Fasanello, MD
NPI #1821218819 in Lackawanna, New York
Provider Information
- NPI Number
- 1821218819
- Entity Type
- Individual
- Name
- DR. Sebastian Salvatore Fasanello, MD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Credential
- MD
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 150 MARTIN RD
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-2708
- Phone
- (716) 828-9811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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