GLORIA KAY MANCUSO

PATCHOGUE, NY
NPI1962411181
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LX0001X Nurse Practitioner, Obstetrics & Gynecology
(Licence: NY  F390002)
Enumeration Date2006-08-05
Last Update Date2007-07-08
Business Address
Ms. GLORIA KAY MANCUSO OG NP
365 EAST MAIN ST SOUTH BROOKHAVEN HEALTH CENTER WEST
PATCHOGUE, NY 11772
Phone number: 631-854-1307
Mailing Address
Ms. GLORIA KAY MANCUSO OG NP
365 EAST MAIN ST SOUTH BROOKHAVEN HEALTH CENTER WEST
PATCHOGUE, NY 11772
Phone number: 631-854-1307
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