Provider Demographics
NPI:1508121906
Name:FASSLER, CAROL (MS ED)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:FASSLER
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 W 76TH ST
Mailing Address - Street 2:APT. 2F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-1539
Mailing Address - Country:US
Mailing Address - Phone:917-743-0180
Mailing Address - Fax:
Practice Address - Street 1:16 W 76TH ST
Practice Address - Street 2:APT. 2F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-1539
Practice Address - Country:US
Practice Address - Phone:917-743-0180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist