Most Relevant Information
Provider Data
| NPI Number: | 1003677915 |
| Provider Name: | BRITTANY FASANELLI RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 162135 |
Most Important Dates
| Enumeration Date: | 01/17/2024 |
| Last Updated: | 01/17/2024 |
Provider Practice Location
20 YORK ST
NEW HAVEN
CT
065103220
Practice Location Phone/Fax
| Phone: | 5168805284 |
| Fax: |
Provider Mailing Location
20 FRANK ST
SMITHTOWN
NY
117871257
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |