SAMANTHA FASANO
Individual Provider (NPI-1)
Active
Registered Nurse, Plastic Surgery
Provider Information
- NPI Number
1093464653- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 30 E 20TH ST STE 3FW1, NEW YORK, NY, 100031310
- Phone
- (646) 763-0342
Specialties & Taxonomies
Registered Nurse, Plastic Surgery
Primary License: NY #724775