Organization
EASTERN HEALTHCARE DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD JAMES FUSARO D.C (PROVIDER)
(516) 557-7596
Entity
Organization
Contact information
Practice address
331 E 71ST ST, STE 1B, NEW YORK, NY 10021-4733
(516) 557-7596
(847) 886-7525
Mailing address
48 LEONARD DR, MASSAPEQUA, NY 11758-7920
(516) 557-7596
(847) 886-7525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X033339
NY
225100000X
Physical Therapist
022715
NY
Other
Enumeration date
03/14/2017
Last updated
03/22/2017
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