Fusco, Tammy Louise
Fusco, Tammy Louise is an sole proprietor health care provider with primary practice located at 5240 Brookhaven Dr , Clarence NY 14031-1612. She recently has only one registered license in Nursing Service Providers / Pediatrics, which is considered as her primary health care specialty. Fusco, Tammy Louise can be contacted via phone (716) 759-6707.Contact Information
Primary practice address
5240 Brookhaven Dr
Clarence NY 14031-1612
Phone: (716) 759-6707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 369-396-1 | New York |
Profile Details
| NPI number | 1376733006 |
|---|---|
| LBN Legal business name | Fusco, Tammy Louise |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2007 |
| Last updated | Jul 30th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376733006 | NPPES |
| New York | MEDICAID | 02666851 |
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