Individual
CARISSA E MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
149 CLAREMONT AVE APT 1, MONTCLAIR, NJ 07042-3667
(917) 971-0902
Mailing address
149 CLAREMONT AVE APT 1, MONTCLAIR, NJ 07042-3667
(917) 971-0902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
062843
NY
Other
Enumeration date
07/23/2026
Last updated
07/23/2026
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