Fusco, Tiffany Marie

Fusco, Tiffany Marie is an individual health care provider with primary practice located at 111 Beach Dr , West Islip NY 11795-4929. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Fusco, Tiffany Marie can be contacted via phone (631) 587-1600.

Contact Information

Primary practice address
111 Beach Dr West Islip NY 11795-4929
Phone: (631) 587-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 2010017617 Missouri
Nursing Service Providers / Registered Nurse 163W00000X 112807 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 22-534297 New York
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 306857 New York

Profile Details

NPI number 1144567561
LBN Legal business name Fusco, Tiffany Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2013
Last updated Oct 25th, 2023 - about last year

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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