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Mrs. Tammy Louise Fusco, RN
Pediatric Registered Nurse in Clarence, New York
NPI 1376733006

Tammy Louise Fusco is a Pediatric Registered Nurse based in East Aurora, NY and is specialized in Pediatrics. Tammy Louise Fusco practices in Clarence, NY and has the professional credentials of RN. The NPI Number for Tammy Louise Fusco is 1376733006 and holds a License No. 369-396-1 (New York).

The current practice location address for Tammy Louise Fusco is 5240 Brookhaven Dr, Clarence, NY and can be reached out via phone at 716-759-6707.

Location: 5240 Brookhaven Dr, Clarence, NY, 14052-1025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376733006
Provider Name
Tammy Louise Fusco
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
5240 Brookhaven Dr, Clarence, NY, 14052-1025
Phone Number
716-759-6707
Fax Number
Provider Enumeration Date
07/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02666851 05 NY
institution
Provider Business Practice Location Address Details
Address
5240 Brookhaven Dr
City
Clarence
State
New York
Zip
14031-1612
Phone Number
716-759-6707
Fax Number
person
Provider Business Mailing Address Details
Address
5240 Brookhaven Dr
City
Clarence
State
New York
Zip
14031-1612
Phone Number
716-759-6707
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Pediatrics
Taxonomy
163WP0200X
License No.
369-396-1 (New York)
Definition
Definition to come...
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