Joanna Fasulo, D.C.

NPI #1710997283 in Patchogue, New York

Provider Information

NPI Number
1710997283
Entity Type
Individual
Name
Joanna Fasulo, D.C.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
D.C.
Enumeration Date
Aug 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
680 MEDFORD AVE STE C
ZIP Code
11772-1344
Phone
(631) 289-3939

Specialties & Taxonomy Codes

Specialty
Chiropractor

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