Organization
FAMILY MEDICAL CARE OF MARINE PARK, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE JOHN MANCUSO MD (PRESIDENT)
(718) 998-9669
Entity
Organization
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
(718) 998-9669
(718) 339-5614
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/06/2007
Last updated
05/28/2014
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