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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL ANTHONY FUSCO, PA

Active Sole Proprietor

MICHAEL ANTHONY FUSCO, PA is a Physician Assistant healthcare provider located in FRESH MEADOWS, New York. NPI 1417506361 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FRESH MEADOWS, NY

Registration Details

NPI Number
1417506361
Provider Type
Individual
Gender
Male
NPI Issued
Sep 4, 2019 (6.9359880089986 yrs)
Last Updated
Feb 27, 2025
Licenses
0110-008610 (VA)
024650 (NY)
Sole Proprietor
Yes

Practice Information

Address
6118 188TH ST
FRESH MEADOWS, NY, 113652713
Browse NY providers · Browse ZIP 11365
Phone
7184895003
Fax
6313500586
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FRESH MEADOWS, NY

Name Credential NPI
CHRISTOPHER BYRNE PA 1306846415
MELISSA SANOFF WIENER PA 1063414936
ROCHELLE KOENIG PA 1508894973
ELIZABETH MARIE CABEZON P.A. 1982624011
MS. ELENA LEVY PA 1629179569
MS. MIHAELA DAJDEA PA 1902907850
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.