Samuel Fasulo, PH.D

NPI 1710133715 · on the registry since 2008 · sole proprietor

Practice

Address: 415 Bedford Rd Ste 6
Pleasantville, NY 10570
Phone: (914) 502-3205
Fax: (904) 222-8987
Organisation at this address: Lynne M Brody Md Pc
Moss Psychological Services, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 103TC0700X
103TC0700X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-03-26

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