Robert William Fasano in Syosset - Clinical

Robert William Fasano - NPI 1013190495

Robert William Fasano is a Clinical in Syosset, New York. Robert William Fasano practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert William Fasano is 1013190495. The last update date is 2007-12-09.

Robert William Fasano's current location address is 175 Jericho Tpke, Syosset, New York. You can contact this provider via phone number 5163590561 and fax number 5164960193. The mailing address for Robert William Fasano is 175 Jericho Tpke, Syosset, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Robert William Fasano
Address 175 Jericho Tpke, Syosset, New York
Phone Number 5163590561
Fax Number 5164960193
Sole Proprietor Y
Credentials LMSW

NPI Number Detail

NPI Number 1013190495
Provider Enumeration Date 2007-12-09
Last Updated Date 2007-12-09

Provider Mailing Address Detail

Address 175 Jericho Tpke
City Syosset
State New York (NY)
Post Code 117914532
Phone Number 5163590561
Fax Number 5164960193

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 39878
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Robert William Fasano

What is the unique 10-digit identification code assigned to Robert William Fasano by the Centers for Medicare & Medicaid Services?

The Robert William Fasano has been issued the NPI (National Provider Identifier) 1013190495, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Robert William Fasano's facilities are situated?

The facilities of Robert William Fasano are physically located at the following address: 175 Jericho Tpke, Syosset, NY, 117914532.

What is the Robert William Fasano's area of specialization and corresponding taxonomy classification?

The Robert William Fasano's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services issue the 1013190495 to Robert William Fasano?

The Robert William Fasano received its 1013190495 assignment from the Centers for Medicare & Medicaid Services on 2007-12-09.

As of what date were the details related to Robert William Fasano most recently updated or revised?

The information pertaining to Robert William Fasano, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-09.

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