# ROBERT F. MANCUSO MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952976797
- **Authorized official:** ROBERT MANCUSO MD (OWNER)
- **Authorized official phone:** (917) 299-5512

## Contact information

- **Practice address:** 8913 RIDGE BLVD, BROOKLYN, NY 11209-5715
- **Practice address phone:** (917) 299-5512
- **Mailing address:** 8913 RIDGE BLVD, BROOKLYN, NY 11209-5715

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/24/2021
- **Last updated:** 05/24/2021