Individual
DR. GABRIELLE FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
932 BROADWAY, WOODMERE, NY 11598-1723
(516) 295-3733
Mailing address
932 BROADWAY, WOODMERE, NY 11598-1723
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
064739
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/01/2023
Last updated
09/17/2025
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