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Individual

DR. MARLENE MARIE MANCUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1155 NORTHERN BLVD, MANHASSET, NY 11030-3040
(516) 222-2022
Mailing address
990 STEWART AVE, SUITE 400, GARDEN CITY, NY 11530-4822
(516) 222-2022
(516) 222-8475

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
244998
NY

Other

Enumeration date
06/17/2008
Last updated
02/23/2021
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