Sebastian Salvatore Fasanello in Lackawanna - Residential Treatment Facility, Emotionally Disturbed Children
Sebastian Salvatore Fasanello - NPI 1821218819
Sebastian Salvatore Fasanello is a Residential Treatment Facility, Emotionally Disturbed Children in Lackawanna, New York. Sebastian Salvatore Fasanello practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Sebastian Salvatore Fasanello is 1821218819. The last update date is 2007-07-08.
Sebastian Salvatore Fasanello's current location address is 150 Martin Rd, Lackawanna, New York. You can contact this provider via phone number 7168289811 and fax number 7168289363. The mailing address for Sebastian Salvatore Fasanello is 150 Martin Rd, Lackawanna, New York. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sebastian Salvatore Fasanello |
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Address | 150 Martin Rd, Lackawanna, New York |
Phone Number | 7168289811 |
Fax Number | 7168289363 |
Sole Proprietor | Y |
Credentials | MD |
NPI Number Detail
NPI Number | 1821218819 |
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Provider Enumeration Date | 2007-05-01 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 150 Martin Rd |
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City | Lackawanna |
State | New York (NY) |
Post Code | 142182708 |
Phone Number | 7168289811 |
Fax Number | 7168289363 |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
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Taxonomy | 322D00000X |
Licence No | 90320 |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code assigned to Sebastian Salvatore Fasanello by the Centers for Medicare & Medicaid Services?
The Sebastian Salvatore Fasanello has been issued the NPI (National Provider Identifier) 1821218819, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Sebastian Salvatore Fasanello?
The Sebastian Salvatore Fasanello is physically situated at 150 Martin Rd, in the city of Lackawanna, state of NY, with the postal code 142182708.
What is Sebastian Salvatore Fasanello's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sebastian Salvatore Fasanello's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.
When did Sebastian Salvatore Fasanello receive its 1821218819 assignment?
The Sebastian Salvatore Fasanello was assigned its 1821218819 on 2007-05-01, which is the date when this unique identifier was issued to the organization.
When was the information regarding Sebastian Salvatore Fasanello most recently updated?
The details pertaining to the Sebastian Salvatore Fasanello, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.