Individual
DR. MARIO V FUSARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WOODS RD, VALHALLA, NY 10595-1530
(914) 493-7979
(914) 493-8373
Mailing address
19 BRADHURST AVE, SUITE 3100N, HAWTHORNE, NY 10532-2140
(914) 909-9018
(914) 909-9028
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
D0078526
MD
207RP1001X
Pulmonary Disease Physician
Primary
263930
NY
207RP1001X
Pulmonary Disease Physician
D0078526
MD
Other
Enumeration date
04/29/2010
Last updated
11/18/2016
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