Individual
CARYN FUSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
645 PULASKI RD, EAST NORTHPORT, NY 11731-2141
(631) 266-4325
Mailing address
645 PULASKI RD, EAST NORTHPORT, NY 11731-2141
(631) 266-4325
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
260498
NY
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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