Individual
MRS. ALLISON FUSARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 E MAIN ST, MOUNT KISCO, NY 10549-3477
(914) 666-1200
Mailing address
1133 YORK AVE, NEW YORK, NY 10065-8307
(212) 639-3099
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011961
NY
Other
Enumeration date
11/01/2010
Last updated
09/25/2025
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