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1063413375
SUSAN CARRIE MANCUSO
BUFFALO, NY
NPI
1063413375
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY f330754-1)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
Ms. SUSAN CARRIE MANCUSO FNP
3435 MAIN ST UNIVERSITY OF BUFFALO /MICHAEL HALL
BUFFALO, NY 14214-3001
Phone number: 716-829-3316
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Mailing Address
Ms. SUSAN CARRIE MANCUSO FNP
720 LAFAYETTE AVE
BUFFALO, NY 14222-1448
Phone number: 716-885-6507
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