Individual
SAMANTHA RAE FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
150 W 25TH ST RM 1202, NEW YORK, NY 10001-7458
(917) 546-4637
Mailing address
518 MONROE ST APT 2B, HOBOKEN, NJ 07030-9003
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007309
NY
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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