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Individual

SOPHIA MANCUSO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1142 WEHRLE DR, BUFFALO, NY 14221-7750
(716) 544-5575
Mailing address
122 ALLENDALE RD, WEST SENECA, NY 14224-3902
(716) 544-5575

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
070858
NY

Other

Enumeration date
08/07/2025
Last updated
08/07/2025
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