Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Annmarie Theresa Fassino

Individual provider Specialist · NPI 1417736687

Annmarie Theresa Fassino is a Specialist in Medford, New York. Licensed in New York. Registered with an NPI since 2023.

Licensed in
NY
In the registry since
2023

Practice location Address checks out

1 Scouting Blvd
Medford, NY 11763-2220
Phone: (631) 297-3202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1752004231 (NY)

Record details

NPI number1417736687
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 21, 2023

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