| Joanna Fasulo Dc Pc | |
|
4155 Vets Highway, Ronkonkoma, NY 11779 | |
| (631) 289-3939 | |
| (631) 289-3934 |
| Full Name | Joanna Fasulo Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4155 Vets Highway, Ronkonkoma, 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 70 Wildwood Road Sag, Harbor, NY 11937 Ph: (631) 289-3939 | Joanna Fasulo Dc Pc 4155 Vets Highway, Ronkonkoma, NY 11779 Ph: (631) 289-3939 |
Miss Jill Clemenza, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2805 Veterans Memorial Hwy Ste 8, Ronkonkoma, NY 11779 Phone: 631-738-8300 Fax: 631-738-8500 | |
Connetquot Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2805 Veterans Memorial Hwy, Suite 8, Ronkonkoma, NY 11779 Phone: 631-738-8300 Fax: 631-738-8500 | |
Dr. Michael William Smith, D.C Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 700 Union Pkwy Ste 3, Ronkonkoma, NY 11779 Phone: 631-737-4676 Fax: 631-737-1261 | |
Dr. William Ray Iii, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 879 Johnson Ave, Ronkonkoma, NY 11779 Phone: 631-467-5468 Fax: 631-467-5469 | |
Dr. Eugene Russell Faillace, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3075 Veterans Memorial Hwy Ste 101, Ronkonkoma, NY 11779 Phone: 631-708-5573 Fax: 631-619-6543 | |
Structure Pro Chiropractic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2805 Veterans Memorial Hwy, #8, Ronkonkoma, NY 11779 Phone: 631-440-1589 | |
Ocean Avenue Chiropractic P.c Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 700 Union Pkwy Ste 3, Ronkonkoma, NY 11779 Phone: 631-737-4676 Fax: 631-737-1261 |