Fasano, Jeanine Marie

Fasano, Jeanine Marie is an sole proprietor health care provider with primary practice located at 1909 Longfellow Ave , Bronx NY 10460. She recently has 2 registered licenses in different health care specialties including Agencies / Early Intervention Provider Agency, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Fasano, Jeanine Marie can be contacted via phone (347) 497-3998.

Contact Information

Primary practice address
1909 Longfellow Ave Bronx NY 10460
Phone: (347) 497-3998
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1740957810
LBN Legal business name Fasano, Jeanine Marie
Credentials M.A., CCC-SLP, TSSLD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2021
Last updated Sep 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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