Individual
DR. JESSE A CHUSID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 COMMUNITY DR, DEPARTMENT OF RADIOLOGY, MANHASSET, NY 11030-3816
(516) 562-4800
Mailing address
300 COMMUNITY DR, DEPARTMENT OF RADIOLOGY, MANHASSET, NY 11030-3816
(516) 562-4800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
D0064421
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410373400
—
MD
01
—
D0064421
MARYLAND STATE LICENSE
MD
01
—
M60744
MD STATE CDS
MD
Enumeration date
08/25/2006
Last updated
03/31/2009
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