Provider Demographics
NPI:1659178242
Name:FUSCO CARE SERVICES
Entity type:Organization
Organization Name:FUSCO CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:FUSCO
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:631-697-2329
Mailing Address - Street 1:104 FERNWOOD TER
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-3812
Mailing Address - Country:US
Mailing Address - Phone:631-697-2329
Mailing Address - Fax:
Practice Address - Street 1:1979 MARCUS AVE STE 209
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1126
Practice Address - Country:US
Practice Address - Phone:631-697-2329
Practice Address - Fax:631-350-0586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-28
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty