Individual
ANDREA FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Mailing address
2800 MARCUS AVE, NEW HYDE PARK, NY 11042-1113
(516) 622-6000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
228927-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02432108
—
NY
Enumeration date
09/25/2006
Last updated
12/09/2013
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