Individual
CARL G SCEUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1550 RICHMOND AVE, SUITE 202, STATEN ISLAND, NY 10314-1578
(718) 370-7700
(718) 370-7798
Mailing address
1550 RICHMOND AVE, SUITE 202, STATEN ISLAND, NY 10314-1578
(718) 370-7700
(718) 370-7798
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
170950
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01160883
—
NY
01
—
1720190259
NPI
NY
Enumeration date
08/31/2006
Last updated
06/03/2010
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