JOANNA FASULO DC PC NPI 1336418847

NPI Information

  • NPI: 1336418847
  • Provider Name: JOANNA FASULO DC PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: FASULO CHIROPRACTIC
  • Address: 680-C ROUTE 112
    PATCHOGUE, NY
    ZIP 11772
  • Phone: (631) 289-3939

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NPI Details

JOANNA FASULO DC PC is a chiropractor in Patchogue, NY. The provider is 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. JOANNA FASULO DC PC NPI is 1336418847. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fasulo Chiropractic.

The provider's business location address is:

680-C ROUTE 112
PATCHOGUE, NY
ZIP 11772-344
Phone: (631) 289-3939
Fax: (631) 289-3934

The provider's authorized official is Joanna Fasulo .
The authorized official title is Owner and has the following contact phone number (631) 289-3939.

The enumeration date for this NPI number is 12/29/2011 and was last updated on 12/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorX006462NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U33864MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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