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Joanna Fasulo, DC
Chiropractor in Patchogue, New York
NPI 1710997283

Joanna Fasulo is a Chiropractor based in Patchogue, NY. Joanna Fasulo practices in Patchogue, NY and has the professional credentials of DC. The NPI Number for Joanna Fasulo is 1710997283 and holds a License No. X006462 (New York).

The current practice location address for Joanna Fasulo is 680 Medford Ave Ste C, Patchogue, NY and can be reached out via phone at 631-289-3939.

Location: 680 Medford Ave Ste C, Patchogue, NY, 11772-1344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710997283
Provider Name
Joanna Fasulo
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
680 Medford Ave Ste C, Patchogue, NY, 11772-1344
Phone Number
631-289-3939
Fax Number
Provider Enumeration Date
08/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
680 Medford Ave Ste C
City
Patchogue
State
New York
Zip
11772-1344
Phone Number
631-289-3939
Fax Number
person
Provider Business Mailing Address Details
Address
680 Medford Ave Ste C
City
Patchogue
State
New York
Zip
11772-1344
Phone Number
631-289-3939
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X006462 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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