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
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
264468
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
96382
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R70155
TRAINING PERMIT
AZ
Enumeration date
06/16/2008
Last updated
05/19/2026
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