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Contact Information

JARRED FUSCO
99 BAYVIEW AVE
99 BAYVIEW AVE
MASSAPEQUA, NY11758-7221
 Phone: 516-398-1603
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiologic Technologist

247100000X
Indicates primary specialty

NPI Profile & details for JARRED FUSCO · (Male)

NPI # 1548120009
Status Active
Credentials
Entity Individual
Enumeration date 11/17/2025
Last updated 11/17/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 463674
Hospital affiliation(s) Not Available
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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