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JESSICA MARIA FASANO LMT, CLT, MLD-C
NPI 1649872805
Massage Therapist in Syosset, NY

Active since November 12, 2020
28 LILAC DR, SYOSSET, NY 11791(516) 250-4529 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Maria Fasano Lmt, Clt, Mld-c NPPES

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

JESSICA MARIA FASANO LMT, CLT, MLD-C (NPI 1649872805) is an individual massage therapist in Syosset, New York, licensed in New York (030477) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1649872805
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJESSICA MARIA FASANOCredential: LMT, CLT, MLD-C
Location Address28 LILAC DRSyosset, NY 11791-2815
Mailing Address28 Lilac DrSyosset, NY 11791-2815 · (516) 250-4529
Phone(516) 250-4529
Sole ProprietorYes
Enumeration DateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
✔ NPI 1649872805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in NY · 030477
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
28 LILAC DR, Syosset, NY 11791
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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 Jessica Fasano's NPI number?

The NPI number for Jessica Fasano is 1649872805. It was assigned to this individual provider in the NPPES registry on November 12, 2020.

Where is Jessica Fasano located?

Jessica Fasano practices at 28 Lilac Dr, Syosset, NY 11791. The listed phone number is (516) 250-4529.

What is Jessica Fasano's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jessica Fasano was last updated on November 12, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.