Organization
EASTERN HEALTH CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD FUSARO D.C. (OWNER)
(516) 691-0808
Entity
Organization
Contact information
Practice address
331 E 71ST ST, SUITE 1B, NEW YORK, NY 10021-4733
(212) 288-2823
Mailing address
48 LEONARD DR, MASSAPEQUA, NY 11758-7920
(516) 691-0808
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229800
WORKERS COMPENSATION PROVIDER ID
NY
Enumeration date
06/16/2008
Last updated
07/21/2022
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