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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