National Provider Identifier
Marybeth Lynn Fussa, M.S.ED.
Marybeth Lynn Fussa, M.S.ED. is listed in the NPPES registry with a primary specialty of Specialist in Fairport, NY and a listed phone number of (585) 766-1451.
Profile Overview
- NPI
- 1700140571
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 26, 2012
- Last Updated
- June 26, 2012
Practice Location
- 97 Country Downs Cir
- Fairport, NY 14450-8808
Phone: (585) 766-1451
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1700140571
- Entity Type
- Individual
- Last Name
- Fussa
- First Name
- Marybeth
- Middle Name
- Lynn
- Name Prefix
- MS.
- Credential
- M.S.ED.
- Mailing Street Address
- 97 Country Downs Cir
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8808
- Mailing Country
- US
- Mailing Phone
- (585) 766-1451
- Practice Street Address
- 97 Country Downs Cir
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-8808
- Practice Country
- US
- Practice Phone
- (585) 766-1451
- Enumeration Date
- June 26, 2012
- Last Updated
- June 26, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)