Individual
MS. WINIFRED MARY FUSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9110 146TH ST, JAMAICA, NY 11435-4301
(718) 523-7408
Mailing address
7104 JUNIPER VALLEY RD, MIDDLE VILLAGE, NY 11379-1839
(917) 974-4854
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
006219-1
NY
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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