LARA FUSCO, PA-C
Physician Assistant
Active
Individual
NPI: 1518665553
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | - |
Frequently Asked Questions
NPI 1518665553 is the National Provider Identifier for LARA FUSCO, PA-C, a Physician Assistant provider located in Port Jefferson Station, NY. This NPI was enumerated on February 20, 2023.
LARA FUSCO, PA-C practices at 815 HALLOCK AVE STE A, Port Jefferson Station, NY 11776.
Quick Facts
- NPI
- 1518665553
- Type
- Individual
- Enumerated
- Feb 20, 2023
- Last Updated
- Aug 18, 2025
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