NPI Profile for Dr PETER J MANCUSO in BRENTWOOD, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgery, Foot & Ankle |
213ES0103X | 48 | Podiatry |
| NPI Number | 1558339200 |
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| Status | Active | |
| Credentials | DPM (Doctor of Podiatric Medicine) | |
| Entity | Individual | |
| Enumeration date | 03/09/2006 | |
| Last updated | 04/27/2017 - About 9 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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PETER J MANCUSO
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