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

Matthew Fasano

Individual provider Licensed Practical Nurse · NPI 1992166342

Matthew Fasano is a Licensed Practical Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016

Practice location Address checks out

47 Jerome Ave
Staten Island, NY 10305-3601
Phone: (917) 450-3191
Show map & directions

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

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 315121 (NY)

Record details

NPI number1992166342
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 13, 2016
Last updated in NPPESMarch 13, 2016

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