Individual
DR. JULIAN L MANETTI-CUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
156 5TH AVE STE 508, NEW YORK, NY 10010-7791
(917) 593-5367
Mailing address
238 DEKALB AVE, BROOKLYN, NY 11205-4102
(917) 593-5367
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016953
NY
Other
Enumeration date
02/15/2007
Last updated
12/29/2011
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