| Joanna Fasulo Dc Pc | |
|
680-c Route 112, Patchogue, NY 11772-1344 | |
| (631) 289-3939 | |
| (631) 289-3934 |
| Full Name | Joanna Fasulo Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 680-c Route 112, Patchogue, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336418847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X006462 (New York) | Primary |
| Provider Name | Joanna Fasulo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710997283 PECOS PAC ID: 4486828001 Enrollment ID: I20111117000021 |
| Provider Name | Zachary Alexander Nowicki |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922663095 PECOS PAC ID: 9830527563 Enrollment ID: I20200312000053 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Fasulo Dc Pc 680-c Route 112, Patchogue, NY 11772-1344 Ph: (631) 289-3939 | Joanna Fasulo Dc Pc 680-c Route 112, Patchogue, NY 11772-1344 Ph: (631) 289-3939 |
Dr. Dana Lorraine Cavell Clum, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 585 Medford Ave Ste 10, Patchogue, NY 11772 Phone: 631-569-5476 Fax: 631-569-5478 | |
Drew Jonathan Handler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 157 N Ocean Ave, Patchogue, NY 11772 Phone: 631-289-3067 Fax: 631-289-3027 | |
Dr. Edward Beller, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 268 Medford Ave, Patchogue, NY 11772 Phone: 631-654-2929 Fax: 631-654-0217 | |
Dr. Nicholas Miceli, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 450 Waverly Ave, Suite 9, Patchogue, NY 11772 Phone: 631-289-1151 Fax: 631-289-1159 | |
Drew J Handler Dc Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 157 N Ocean Ave, Patchogue, NY 11772 Phone: 631-289-3067 Fax: 631-289-3027 | |
Dr. Brett Andrew Desing, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 38 Oak St Ste 2, Patchogue, NY 11772 Phone: 631-654-2225 Fax: 631-730-8307 | |
Island Musculoskeletal Care, M.d., P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 105 Medford Ave, Patchogue, NY 11772 Phone: 631-475-0353 Fax: 516-374-2362 |