Organization
EDWARD H. CUSSATTI,M.D., P.C.,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HUGO CUSSATTI M.D. (CEO)
(631) 422-0909
Entity
Organization
Contact information
Practice address
754 MONTAUK HWY, WEST ISLIP, NY 11795-4908
(631) 422-0909
(631) 422-6660
Mailing address
754 MONTAUK HWY, PO BOX 70, WEST ISLIP, NY 11795-4908
(631) 422-0909
(631) 422-6660
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2278601
NY
Other
Enumeration date
02/19/2008
Last updated
04/02/2008
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