Christine Fasano, MSED
Individual provider Active NPI Specialist · Massena, NY
NPI 1649830902 · NPPES record last updated Jun 19, 2019
Key facts
- NPI
- 1649830902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 1314060191 (NY)
- Practice address
- 10 Hospital Dr
Massena, NY 13662-1019 - Phone
- (315) 769-3000
- Fax
- (315) 769-3002
- NPI assigned
- Jun 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1314060191 | NY | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1314060191 | NY | Yes |
Addresses
Primary practice location
10 Hospital Dr
Massena, NY 13662-1019
Mailing address
10 Hospital Dr
Massena, NY 13662-1019
Phone (315) 769-3000
Other providers in Massena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.