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

Anthony Fasulo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497420863

Anthony Fasulo is a Student in an Organized Health Care Education/Training Program in Central Islip, New York. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

320 Carleton Ave
Central Islip, NY 11722-4506
Phone: (631) 663-4300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1497420863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 9, 2021
Last updated in NPPESAugust 9, 2021
Certification dateAugust 9, 2021
Mailing address790 Park Ave, Huntington, NY 11743-4516

Other providers in Central Islip