Tara Marie Fusco-puleo M.D.

NPI 1952452997 - Pediatrics - 208000000X

NPI Details
NPI 1952452997
Gender Female
Enumeration Date 01/16/2007
Last Updated 03/30/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
165 N VILLAGE AVE
SUITE 215
ROCKVILLE CENTRE NY, 11570-3761, US
Phone (516) 536-7200
Fax (516) 536-7208
Business Location
165 N VILLAGE AVE
SUITE 215
ROCKVILLE CENTRE NY, 11570-3761, US
Phone (516) 536-7200
Fax (516) 536-7208
Toxanomy
Taxonomy Code 208000000X
License State New York
License Number 208013
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According to our database, Tara Marie Fusco-puleo M.D. NPI is 1952452997, taxonomy code is 208000000X and license number is 208013, license state is located at New York. Tara Marie Fusco-puleo M.D. physically located at 165 N Village Ave, Rockville Centre NY, 11570-3761. NPI Number Tara Marie Fusco-puleo M.D. has the Individual type.

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1952452997 NPI number is provided on an as is basis without warranty of any kind. 1952452997 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Marie Fusco-puleo M.D. are for informational purposes only.