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Organization
GERARD J. CUSA M.D., PLLC
Active
Organization
GERARD J. CUSA M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD J. CUSA M.D. (OWNER)
(516) 939-0164
Entity
Organization
Contact information
Practice address
400 S OYSTER BAY RD, SUITE 302, HICKSVILLE, NY 11801-3500
(516) 939-0164
(516) 939-0165
Mailing address
400 S OYSTER BAY RD, SUITE 302, HICKSVILLE, NY 11801-3500
(516) 939-0164
(516) 939-0165
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
156842
NY
Other
Enumeration date
09/14/2012
Last updated
10/13/2015
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