Individual provider · Type 1 NPI
Marybeth Lynn Fussa, M.S.ED.
Specialist · Fairport, NY
NPI number
1700140571
Active
Practice location
97 Country Downs Cir
Fairport, NY 14450-8808
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
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 1700140571
Marybeth Lynn Fussa, M.S.ED.'s National Provider Identifier is 1700140571, issued on Jun 26, 2012. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fairport, NY. The record was last updated on Jun 26, 2012.