Individual
DR. GINA FUSCO DELIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
25 MAIN ST, HASTINGS ON HUDSON, NY 10706-1217
(914) 478-0277
Mailing address
25 MAIN ST, HASTINGS ON HUDSON, NY 10706-1217
(914) 478-0277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
042658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042658
LICENSE #
NY
Enumeration date
11/20/2006
Last updated
09/14/2016
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