Individual
HEATHER FUSICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 1ST AVE STE 4G, NEW YORK, NY 10016-6402
(646) 501-2465
Mailing address
26 W 75TH ST APT 3A, NEW YORK, NY 10023-2088
(860) 965-3246
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309370-01
NY
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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