Individual
DR. MELISSA ANN CUSUMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
888 OLD COUNTRY RD, PLAINVIEW, NY 11803-4914
(516) 719-0012
Mailing address
352 ARCHER ST, FREEPORT, NY 11520-4233
(516) 770-6574
(516) 771-9818
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
240976
NY
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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