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ANNMARIE THERESA FASSINO
NPI 1417736687
Specialist in Medford, NY

Active since September 26, 2023
1 SCOUTING BLVD, MEDFORD, NY 11763(631) 297-3202 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Annmarie Theresa Fassino NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNMARIE THERESA FASSINO (NPI 1417736687) is an individual specialist in Medford, New York, licensed in New York (1752004231) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1417736687
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameANNMARIE THERESA FASSINO
Location Address1 SCOUTING BLVDMedford, NY 11763-2220
Mailing Address1 Scouting BlvdMedford, NY 11763-2220 · (631) 297-3202
Phone(631) 297-3202
Sole ProprietorNo
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 21, 2023
✔ NPI 1417736687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 1752004231
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1 SCOUTING BLVD, Medford, NY 11763
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORI MERCK
Behavior Analyst
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
KASEY ANN VITALE
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
ALLISON TYSKA-PETTERSEN
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3200
BEVIN ANN FLEMMING
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
EILEEN LEARY ROGGEMANN
Specialist/Technologist, Other
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202
NICOLE RYANN MIHALIK MA
Early Intervention Provider Agency
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3201
TRACEY MARIE SOUTHARD
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 745-0317
OLIVIA ANN FERTMANN
Specialist
1 SCOUTING BLVD
MEDFORD, NY 11763
Suffolk County (631) 297-3202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Annmarie Fassino's NPI number?

The NPI number for Annmarie Fassino is 1417736687. It was assigned to this individual provider in the NPPES registry on September 26, 2023.

Where is Annmarie Fassino located?

Annmarie Fassino practices at 1 Scouting Blvd, Medford, NY 11763. The listed phone number is (631) 297-3202.

What is Annmarie Fassino's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Annmarie Fassino was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.