Individual
DR. PHILLIP J CUSANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 362-8674
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 332-3525
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
234708
NY
207L00000X
Anesthesiology Physician
Primary
MD435560
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012850420
—
PA
Enumeration date
01/27/2006
Last updated
08/27/2013
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