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Individual

ADA FUSCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSOT

Contact information

Practice address
605 PAVONIA AVE, JERSEY CITY, NJ 07306-2920
(201) 409-1417
Mailing address
7715 11TH AVE, BROOKLYN, NY 11228-2315
(646) 641-9332

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028547
NY
225X00000X
Occupational Therapist
Primary
028547
NY

Other

Enumeration date
10/30/2023
Last updated
02/11/2026
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