Individual
LEO CUSUMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 W MAIN ST, CUBA, NY 14727-1317
(716) 375-7500
(716) 701-6853
Mailing address
135 N UNION ST, OLEAN, NY 14760-2736
(716) 701-6879
(716) 806-1287
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
182357
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000527072008
BLUE CROSS
NY
05
—
01207309
—
NY
Enumeration date
08/25/2005
Last updated
11/11/2025
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