Individual
ALYSSA M MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 CENTRAL AVE, AMITYVILLE, NY 11701-3537
(516) 317-9284
Mailing address
99 CENTRAL AVE, AMITYVILLE, NY 11701-3537
(516) 317-9284
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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