Most Relevant Information
Provider Data
| NPI Number: | 1003360827 |
| Provider Name: | ALEX FASANO |
| Entity Type: | Individual |
| Taxonomy Code: | 1041S0200X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/10/2016 |
| Last Updated: | 08/10/2016 |
Provider Practice Location
8 JOHNSON ST
STATEN ISLAND
NY
103091148
Practice Location Phone/Fax
| Phone: | 7189670317 |
| Fax: |
Provider Mailing Location
8 JOHNSON ST
STATEN ISLAND
NY
103091148
Provider Mailing Phone/Fax
| Phone: | 7189670317 |
| Fax: |