Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Joanna Fasulo DC PC

Organization Chiropractor · NPI 1336418847

Joanna Fasulo DC PC is a Chiropractor in Ronkonkoma, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063
Phone: (516) 509-0725
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 70 Wildwood Rd, Sag Harbor, NY 11963-2105 — (516) 509-0725

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence X006462 (NY)

Record details

NPI number1336418847
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Fasulo — Owner · (516) 509-0725
Other names Fasulo Chiropractic
NPI enumeratedDecember 29, 2011
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026
Mailing address70 Wildwood Road Sag, Harbor, NY 11937

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