Fasullo, Frances Liboria

Fasullo, Frances Liboria is an sole proprietor health care provider with primary practice located at 9007 156Th Ave , Howard Beach NY 11414-2719. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Fasullo, Frances Liboria can be contacted via phone (646) 250-5839.

Contact Information

Primary practice address
9007 156Th Ave Howard Beach NY 11414-2719
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X 103T50200X New York

Profile Details

NPI number 1164711164
LBN Legal business name Fasullo, Frances Liboria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2011
Last updated Mar 31st, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164711164 NPPES
New York Other 103T50200X PSYCHOLOGIST

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