Individual provider · Type 1 NPI
Lauren Fusco
Specialist · Massapequa Park, NY
NPI number
1083966410
Active
Practice location
37 Brendan Ave
Massapequa Park, NY 11762-3305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 571525111 (NY) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1083966410
Lauren Fusco's National Provider Identifier is 1083966410, issued on Oct 9, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Massapequa Park, NY. The record was last updated on Oct 9, 2012.