Individual
THOMAS FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 S HOWELL AVE, CENTEREACH, NY 11720-4327
(631) 697-3258
Mailing address
41 S HOWELL AVE, CENTEREACH, NY 11720-4327
(631) 697-3258
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845096
—
NY
Enumeration date
03/19/2020
Last updated
03/19/2020
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