Individual
DR. ANGELA MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM-D
Contact information
Practice address
1405 E GENESEE ST, SYRACUSE, NY 13210-1113
(315) 472-1042
Mailing address
3396 HAMMOCKS DR APT 208, BALDWINSVILLE, NY 13027-4208
(518) 596-9347
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
054557
NY
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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