Cusack, Jeffrey J.

Cusack, Jeffrey J. is an individual health care provider with primary practice located at 1172 5Th Ave , East Northport NY 11731-2631. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cusack, Jeffrey J. can be contacted via phone (631) 266-2220.

Contact Information

Primary practice address
1172 5Th Ave East Northport NY 11731-2631
Phone: (631) 266-2220
Fax: (631) 266-5119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N003228-1 New York

Profile Details

NPI number 1336148220
LBN Legal business name Cusack, Jeffrey J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Dec 28th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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