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Contact Information

ANDREA FUSCO, MD
2800 MARCUS AVE
NEW HYDE PARK, NY11042-1113
 Phone: 516-622-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ANDREA FUSCO · (Female)

NPI # 1124128350
Status Active
Credentials MD
Entity Individual
Enumeration date 09/25/2006
Last updated 12/09/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 228927-1
  • NY Medicaid 02432108
Hospital affiliation(s)
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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