Mancuso, Darren L

Mancuso, Darren L is an individual health care provider with primary practice located at 9300 Dewitt Loop , Fort Belvoir VA 22060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Mancuso, Darren L can be contacted via phone (571) 231-1171.

Contact Information

Primary practice address
9300 Dewitt Loop Fort Belvoir VA 22060
Phone: (571) 231-1171
Fax: (571) 231-1172
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 266369 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 266369 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 0102205291 Virginia

Profile Details

NPI number 1861521361
LBN Legal business name Mancuso, Darren L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Oct 5th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861521361 NPPES
New Mexico MEDICAID 39458857

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