Individual
CARLA CUSIMANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
555 REMSEN AVE, BROOKLYN, NY 11236-1017
(718) 495-3510
Mailing address
11 POPLAR ST, MASSAPEQUA, NY 11758-2421
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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