Individual
HEIDI N FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
240 E 38TH ST FL 15, NEW YORK, NY 10016-2708
(212) 263-6037
(212) 369-6389
Mailing address
5 E 98TH ST, 6TH FLOOR, NEW YORK, NY 10029-6501
(212) 241-6335
(212) 369-6389
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
264468
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R70155
TRAINING PERMIT
AZ
Enumeration date
06/16/2008
Last updated
04/08/2021
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