Provider Demographics
NPI:1104549716
Name:FUSE MEDICAL PLLC
Entity type:Organization
Organization Name:FUSE MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ILYA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIZH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:914-460-4891
Mailing Address - Street 1:175 MEMORIAL HWY STE 1-1
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5639
Mailing Address - Country:US
Mailing Address - Phone:914-460-4891
Mailing Address - Fax:
Practice Address - Street 1:175 MEMORIAL HWY STE 1-1
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5639
Practice Address - Country:US
Practice Address - Phone:646-898-6734
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-20
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy