Organization
JOHN MANCUSO DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA HYNES (COLLECTIONS)
(718) 388-1600
Entity
Organization
Contact information
Practice address
133 E 54TH ST RM 2E, NEW YORK, NY 10022-4538
(718) 388-1600
(718) 388-1551
Mailing address
133 E 54TH ST RM 2E, NEW YORK, NY 10022-4538
(718) 388-1600
(718) 388-1551
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NS782
OXFORD
NY
01
—
P34331
BCBS
NY
Enumeration date
07/25/2007
Last updated
11/20/2007
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