Individual
MR. DENNIS DANIEL MANCUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
Mailing address
3 COMMERCIAL PL, NEWBURGH, NY 12550-5306
(845) 220-2146
(845) 561-3913
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
31004
NY
Other
Enumeration date
03/04/2021
Last updated
03/04/2021
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