Individual
AMANDA ANGELINA FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED
Contact information
Practice address
32 KELLY ROAD, CARMEL, NY 10512-2424
(718) 561-9695
Mailing address
32 KELLY ROAD, CARMEL, NY 10512-2424
(718) 561-9695
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2604219
NY
Other
Enumeration date
02/22/2025
Last updated
06/24/2025
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