Provider Demographics
NPI:1891596003
Name:JUSINO, AIDA S
Entity type:Individual
Prefix:
First Name:AIDA
Middle Name:S
Last Name:JUSINO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 FREEPORT LOOP APT 8A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239-2321
Mailing Address - Country:US
Mailing Address - Phone:917-455-4202
Mailing Address - Fax:
Practice Address - Street 1:203 NEWPORT ST FL 2
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-6141
Practice Address - Country:US
Practice Address - Phone:718-408-5455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker