Individual
ADRIENNE LEE MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 WESTFALL RD, ROCHESTER, NY 14620
(585) 461-8549
Mailing address
235 HARWICK RD, ROCHESTER, NY 14609
(585) 482-2333
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0057251
NY
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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