Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Maria Fasano, LMT, CLT, MLD-C

Individual provider Massage Therapist · NPI 1649872805

Jessica Maria Fasano, LMT, CLT, MLD-C is a Massage Therapist in Syosset, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

28 Lilac Dr
Syosset, NY 11791-2815
Phone: (516) 250-4529
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 030477 (NY)

Record details

NPI number1649872805
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , CLT , MLD-C
Sole proprietorYes
NPI enumeratedNovember 12, 2020
Last updated in NPPESNovember 12, 2020
Certification dateNovember 12, 2020

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