Individual
MRS. ALLISON SUSAN FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
26901 76TH AVE, NEW HYDE PARK, NY 11040-1433
(718) 470-3147
Mailing address
45 HARRIS DR, OCEANSIDE, NY 11572-5712
(516) 204-2439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
513615
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
38 382320
NY
Other
Enumeration date
10/22/2012
Last updated
10/22/2012
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