SearchNew York237700000X

Samantha Fustinoni

NPI 1417413758 · on the registry since 2019

Practice

Address
2 Graham Rd W Ste 200
Ithaca, NY 14850
Phone
(607) 319-4754
Organisation at this address
Empire State Orthodontics, P.C.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
237700000X
237700000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York