Dr Samuel Joseph Fasulo, PHD - Psychologist in Bronx, NY

Dr Samuel Joseph Fasulo, PHD is a Psychologist - Clinical based in Bronx, New York. Dr Samuel Joseph Fasulo is licensed to practice in New York (license number 017737) and his current practice location is 111 E 210th St, Bronx, New York. He can be reached at his office (for appointments etc.) via phone at (718) 401-5077.

NPI number for Dr Samuel Joseph Fasulo is 1710133715 and his current mailing address is 334 E 148th St, 2nd Floor, Bronx, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710133715.

Contact Information

Dr Samuel Joseph Fasulo, PHD
111 E 210th St,
Bronx, NY 10467-2401
(718) 401-5077
(718) 401-5080

Map and Direction




Healthcare Provider's Profile

Full NameDr Samuel Joseph Fasulo
GenderMale
SpecialityPsychologist - Clinical
Location111 E 210th St, Bronx, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1710133715
  • Provider Enumeration Date: 08/11/2008
  • Last Update Date: 08/11/2008

Medical Identifiers

Medical identifiers for Dr Samuel Joseph Fasulo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710133715NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 017737 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Samuel Joseph Fasulo is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Samuel Joseph Fasulo, PHD
334 E 148th St, 2nd Floor,
Bronx, NY 10451-5707

Ph: (718) 401-5077
Dr Samuel Joseph Fasulo, PHD
111 E 210th St,
Bronx, NY 10467-2401

Ph: (718) 401-5077

Reviews and Comments


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