| Tara Marie Fusco-puleo, MD | |
|
165 N Village Ave, Suite 215, Rockville Centre, NY 11570-3761 | |
| (516) 536-7200 | |
| (516) 536-7208 |
| Full Name | Tara Marie Fusco-puleo |
|---|---|
| Gender | Female |
| Speciality | Pediatric Medicine |
| Experience | 29 Years |
| Location | 165 N Village Ave, Rockville Centre, New York |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952452997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 208013 (New York) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Medical Care Pc | 9931013240 | 979 |
| Entity Name | Optum Medical Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982643003 PECOS PAC ID: 9931013240 Enrollment ID: O20031119000321 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara Marie Fusco-puleo, MD 165 N Village Ave, Suite 215, Rockville Centre, NY 11570-3761 Ph: (516) 536-7200 | Tara Marie Fusco-puleo, MD 165 N Village Ave, Suite 215, Rockville Centre, NY 11570-3761 Ph: (516) 536-7200 |
Constance F Stewart, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 515 Hempstead Ave, Rockville Centre, NY 11570 Phone: 516-766-2199 Fax: 516-764-0032 | |
Susan W Mccarthy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Merrick Rd Ste 102e, Rockville Centre, NY 11570 Phone: 516-277-2060 Fax: 516-277-2058 | |
Dr. Lindsay Ann He, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 350 Sunrise Hwy, Rockville Centre, NY 11570 Phone: 516-763-4764 | |
Dr. Lincy Ann Cherian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570 Phone: 516-705-2873 | |
Dr. Jordana Cele Hannam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 N Village Ave, Rockville Centre, NY 11570 Phone: 516-705-3326 | |
Lisa Anne Forgione, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 165 N Village Ave, Suite 215, Rockville Centre, NY 11570 Phone: 516-536-7200 Fax: 516-536-7208 | |
Dr. Stephen Shear, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 30 Hempstead Ave, Suite 248, Rockville Centre, NY 11570 Phone: 516-536-3232 Fax: 516-536-5626 |