Individual
DR. CHRISTOPHER JOSEPH MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO, MHS
Contact information
Practice address
7901 4TH AVE STE A20, BROOKLYN, NY 11209-3957
(561) 716-2633
Mailing address
7901 4TH AVE STE A20, BROOKLYN, NY 11209-3957
(561) 716-2633
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
306169
NY
207N00000X
Dermatology Physician
OS20220
FL
Other
Enumeration date
02/07/2019
Last updated
05/17/2024
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