Mancuso, Andrea Marie

Mancuso, Andrea Marie is an sole proprietor health care provider with primary practice located at 4011 Wilshire Ln , Oakdale NY 11769-1446. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Mancuso, Andrea Marie can be contacted via phone (516) 319-5925.

Contact Information

Primary practice address
4011 Wilshire Ln Oakdale NY 11769-1446
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 1898917 New York

Profile Details

NPI number 1356604763
LBN Legal business name Mancuso, Andrea Marie
Credentials MS.SPED
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 20th, 2012
Last updated Jun 20th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356604763 NPPES
New York Other 174400000X SPECIALIST

Popular Providers