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Individual
DR. JOHN EDWARD MANCUSO
Active
Individual
DR. JOHN EDWARD MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N003102
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS782
OXFORD
NY
01
—
P34331
BC/BS
NY
01
—
P34332
BC/BS
NY
01
—
P34333
BC/BS
NY
Enumeration date
09/02/2006
Last updated
11/02/2007
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