Organization
TUSSE BEHAVIORAL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EREWARIFAGHA M HAIDOME (OWNER)
(347) 281-0304
Entity
Organization
Contact information
Practice address
228 PARK AVE S, NEW YORK, NY 10003-1502
(516) 515-1729
Mailing address
3963 MURDOCK AVE, BRONX, NY 10466-2442
(516) 515-1729
(347) 682-4068
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/07/2025
Last updated
08/07/2025
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