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1811266653
WINIFRED MARY FUSCO
JAMAICA, NY
NPI
1811266653
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 006219-1)
Enumeration Date
2011-12-23
Last Update Date
2011-12-23
Business Address
Ms. WINIFRED MARY FUSCO PTA
9110 146TH ST
JAMAICA, NY 11435-4301
Phone number: 718-523-7408
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Mailing Address
Ms. WINIFRED MARY FUSCO PTA
7104 JUNIPER VALLEY RD
MIDDLE VILLAGE, NY 11379-1839
Phone number: 917-974-4854
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