Samuel Joseph Fasulo in Bronx - Clinical

Samuel Joseph Fasulo - NPI 1710133715

Samuel Joseph Fasulo is a Clinical in Bronx, New York. Samuel Joseph Fasulo practices all healthcare services and medical treatments related to Clinical. The NPI Number for Samuel Joseph Fasulo is 1710133715. The last update date is 2008-08-11.

Samuel Joseph Fasulo's current location address is 334 E 148th St, Bronx, New York. You can contact this provider via phone number 7184015077 and fax number 7184015080. The mailing address for Samuel Joseph Fasulo is 334 E 148th St, Bronx, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Joseph Fasulo
Address 334 E 148th St, Bronx, New York
Phone Number 7184015077
Fax Number 7184015080
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1710133715
Provider Enumeration Date 2008-08-11
Last Updated Date 2008-08-11

Provider Mailing Address Detail

Address 334 E 148th St
City Bronx
State New York (NY)
Post Code 104515707
Phone Number 7184015077
Fax Number 7184015080

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 17737
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

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FAQs about Samuel Joseph Fasulo

What is the unique 10-digit identification code issued to Samuel Joseph Fasulo by the Centers for Medicare & Medicaid Services?

The Samuel Joseph Fasulo has been assigned the NPI (National Provider Identifier) 1710133715 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Samuel Joseph Fasulo located?

The Samuel Joseph Fasulo is located at 334 E 148Th St, Bronx, NY 104515707.

What is Samuel Joseph Fasulo's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Samuel Joseph Fasulo is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.

On what date did the Centers for Medicare & Medicaid Services assign the 1710133715 to Samuel Joseph Fasulo?

The Centers for Medicare & Medicaid Services assigned the 1710133715 to Samuel Joseph Fasulo on 2008-08-11.

When was the information related to Samuel Joseph Fasulo most recently updated or refreshed?

The details pertaining to the Samuel Joseph Fasulo, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-08-11.

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