Organization
NORTHWELL DIAGNOSTIC GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD FUSARO DC (OWNER)
(212) 288-2823
Entity
Organization
Contact information
Practice address
801 NORTHPOINT PKWY STE P4, WEST PALM BEACH, FL 33407-1973
(212) 288-2823
(212) 208-4648
Mailing address
801 NORTHPOINT PKWY STE 313, WEST PALM BEACH, FL 33407-1973
(212) 288-2823
(212) 208-4648
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
10/17/2022
Last updated
01/30/2023
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