Individual
DR. EDWARD HUGO CUSSATTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
786 MONTAUK HIGHWAY, WEST ISLIP, NY 11795-0070
(631) 587-5800
(631) 669-0222
Mailing address
786 MONTAUK HIGHWAY, WEST ISLIP, NY 11795-0070
(631) 587-5800
(631) 669-0222
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2278601
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131109P
HIP
NY
01
—
151007
VYTRA
NY
01
—
2314404
UNITED HEALTH CARE
NY
01
—
3900590
CIGNA
NY
01
—
3C5898
HEALTHNET
NY
01
—
76V111
BLUE CROSS
NY
01
—
P2956224
OXFORD FREEDOM
NY
Enumeration date
07/04/2006
Last updated
08/07/2013
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