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1467441899
MARK J MANCUSO
ROCHESTER, NY
NPI
1467441899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NY 190093)
Enumeration Date
2005-10-18
Last Update Date
2007-07-08
Business Address
-- MARK J MANCUSO MD
1555 LONG POND RD
ROCHESTER, NY 14626-4122
Phone number: 585-255-8966
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Mailing Address
-- MARK J MANCUSO MD
PO BOX 2005
EAST SYRACUSE, NY 13057-4505
Phone number: 315-449-0513
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