Individual
MADELENE KIRSTEN MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1000 ELMWOOD AVE, ROCHESTER, NY 14620-3042
(585) 271-2520
(585) 286-9220
Mailing address
1000 ELMWOOD AVE, ROCHESTER, NY 14620-3042
(585) 271-2520
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403773
NY
Other
Enumeration date
09/28/2021
Last updated
06/09/2025
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