Joanna Fasulo (NPI# 1710997283, PAC ID# 4486828001) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1710997283 |
| PAC ID by PECOS | 4486828001 |
| Professional Enrollment ID | I20111117000021 |
| Full Name | Joanna Fasulo |
| Address |
680 Route 112 Suite C Patchogue NY 11772-1344 |
| Gender | F |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1990 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 680 Route 112, Suite C, Patchogue, NY 11772-1344 |
| Street Address |
680 ROUTE 112 SUITE C |
| City | PATCHOGUE |
| State | NY |
| Zip | 11772-1344 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Horvath | Clinical Social Worker | 18 Woodward Ave, Patchogue, NY 11772-1041 | |
| Shahin F Shaikh | Pulmonary Disease | 90 Medford Ave, Patchogue, NY 11772-1202 | |
| Christine Marie Doucet | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rivkah E Raza | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Andrew S Wang | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Sam M Fassnacht | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Lyndie A Hughes | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rose Orlando | Nurse Practitioner | 140 Medford Ave, Patchogue, NY 11772-1208 | |
| Frances P Redarrow | Clinical Social Worker | 20 Medford Ave, Suite 109, Patchogue, NY 11772-1220 | |
| Edward A Beller | Chiropractic | 268 Medford Ave, Patchogue, NY 11772-1221 | |
| Find all physicians in zip 11772 | |||
| City | PATCHOGUE |
| Zip Code | 11772 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PATCHOGUE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Joanna Fasulo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.