Individual
MRS. DANA JEAN MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C, MFT
Contact information
Practice address
3771 NESCONSET HWY, STE 214, SOUTH SETAUKET, NY 11720-1163
(631) 751-1420
(631) 509-0601
Mailing address
3771 NESCONSET HWY, STE 214, SOUTH SETAUKET, NY 11720-1163
(631) 751-1420
(631) 509-0601
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/31/2007
Last updated
01/27/2017
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