Mancuso, Robert P

Mancuso, Robert P is an sole proprietor health care provider with primary practice located at 881 Wallace Ave , North Baldwin NY 11510-2136. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Mancuso, Robert P can be contacted via phone (516) 317-9929.

Contact Information

Primary practice address
881 Wallace Ave North Baldwin NY 11510-2136
Phone: (516) 317-9929
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1518009679
LBN Legal business name Mancuso, Robert P
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 18 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 1518009679 NPPES
New York Other R054916-1 LCSW

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