Individual
DR. EUGENE JOHN MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2915 AVENUE S, BROOKLYN, NY 11229-2544
(718) 998-9669
(718) 339-5614
Mailing address
2915 AVENUE S, BROOKLYN, NY 11229-2544
(718) 998-9669
(718) 339-5614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
166460
NY
Other
Enumeration date
02/21/2007
Last updated
10/22/2018
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