Individual
CHRISTINE ASHLEY FUSCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. ED
Contact information
Practice address
1 SCOUTING BLVD, MEDFORD, NY 11763-2220
(631) 297-3201
Mailing address
225 BROADWAY, ROCKY POINT, NY 11778-9604
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1084161
NY
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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