Individual provider · Type 1 NPI

Joanna Fasulo, DC

Chiropractor · Ronkonkoma, NY

NPI number 1710997283 Active

Practice location

4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063

Mailing address

70 Wildwood Rd
Sag Harbor, NY 11963-2105

Other practice locations

  • 70 Wildwood Rd, Sag Harbor, NY 11963-2105 · (516) 509-0725

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX006462 (NY)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1710997283

Joanna Fasulo, DC's National Provider Identifier is 1710997283, issued on Aug 8, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Ronkonkoma, NY. The record was last updated on Mar 13, 2026.