Individual
BRIAN CHIUSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2164 E 29TH ST, BROOKLYN, NY 11229-5020
(718) 648-3392
Mailing address
2164 E 29TH ST, BROOKLYN, NY 11229-5020
(718) 648-3392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14465
NY
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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