Fusco, Michael Stephen

Fusco, Michael Stephen is an sole proprietor health care provider with primary practice located at 25 S Regent St , Port Chester NY 10573-3512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fusco, Michael Stephen can be contacted via phone (914) 939-1922.

Contact Information

Primary practice address
25 S Regent St Port Chester NY 10573-3512
Phone: (914) 939-1922
Fax: (914) 939-5498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 194064 New York

Profile Details

NPI number 1972516482
LBN Legal business name Fusco, Michael Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 14th, 2006
Last updated Sep 29th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972516482 NPPES
New York Other 194064 LICENSE
New York MEDICAID 001329813 LICENSE
New York Other 032981 LICENSE

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