# TUSSE BEHAVIORAL WELLNESS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992680292
- **Authorized official:** EREWARIFAGHA M HAIDOME (OWNER)
- **Authorized official phone:** (347) 281-0304

## Contact information

- **Practice address:** 228 PARK AVE S, NEW YORK, NY 10003-1502
- **Practice address phone:** (516) 515-1729
- **Mailing address:** 3963 MURDOCK AVE, BRONX, NY 10466-2442
- **Mailing address phone:** (516) 515-1729
- **Mailing address fax:** (347) 682-4068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LX0106X | Occupational Health Nurse Practitioner | — | NULL | Yes |
| 363LX0106X | Occupational Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/07/2025
- **Last updated:** 08/07/2025
