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Organization
JOANNA FASULO DC PC
Active
Organization
JOANNA FASULO DC PC
Active
Other names
Fasulo Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNA FASULO DC (OWNER)
(516) 509-0725
Entity
Organization
Contact information
Practice address
4155 VETERANS MEMORIAL HWY STE 5, RONKONKOMA, NY 11779-6063
(516) 509-0725
Mailing address
70 WILDWOOD ROAD SAG, HARBOR, NY 11937
(516) 509-0725
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006462
NY
Other
Enumeration date
12/29/2011
Last updated
03/13/2026
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