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

LARA MICHAELA JUDE FUSCO, PA-C

Active

LARA MICHAELA JUDE FUSCO, PA-C is a Physician Assistant healthcare provider located in PORT JEFFERSON STATION, New York. NPI 1518665553 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · PORT JEFFERSON STATION, NY

Registration Details

NPI Number
1518665553
Provider Type
Individual
Gender
Female
NPI Issued
Feb 20, 2023 (3.4756003361893 yrs)
Last Updated
Aug 18, 2025

Practice Information

Address
815 HALLOCK AVE STE A
PORT JEFFERSON STATION, NY, 117761244
Browse NY providers · Browse ZIP 11776
Phone
6318283036
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in PORT JEFFERSON STATION, NY

Name Credential NPI
MS. MARIA ALBA MCMANUS R.P.A.C. 1821051921
NOAMI MOREY PA 1053364133
DONNA COLLORA PA 1972654960
STACEY DIGIACOMO P.A. 1023233103
MR. GERARD STEVEN GUZMAN RPA-C 1790903862
LINDSAY M COMO RPAC 1558562041
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.