Individual
JUDY FUSCHINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
333 HOOSICK ST, TROY, NY 12180-2075
(518) 273-3732
(518) 272-2993
Mailing address
8 CRESTHAVEN LN, CLIFTON PARK, NY 12065-2701
(518) 371-0839
(518) 371-0839
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
134450
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00516578
—
NY
01
—
10005667
CDPHP
NY
Enumeration date
01/31/2006
Last updated
12/03/2012
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