MARIE ANNE MANCUSO (NPI# 1245570282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245570282 |
| Entity Type | Individual |
| Full Name | MARIE ANNE MANCUSO |
| Credential | PMHNP |
| Practice Address |
20514 Linden Blvd Suite 204 Saint Albans NY 11412-2900 |
| Mailing Address |
128 E 3rd St Brooklyn NY 11218-1406 |
| Practice Telephone | 7185285493 |
| Mailing Telephone | 3477569400 |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 659896 | NY | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
402366 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Cadman Plz W Fl 17, Brooklyn, NY 112013229 | 7188221818 | 3479161906 |
| Street Address |
20514 LINDEN BLVD SUITE 204 |
| City | SAINT ALBANS |
| State | NY |
| Zip Code | 11412-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700995628 | Expert Medical Services LLC | Internal Medicine | 20514 Linden Blvd, Suite 210, Saint Albans, NY 11412-2900 | 2006-08-30 |
| 1598234700 | Sherley Stiven | Licensed Practical Nurse | 20514 Linden Blvd, Saint Albans, NY 11412-2900 | 2018-11-16 |
| 1740646017 | Donna Jacobs | Registered Nurse | 20514 Linden Blvd, Saint Albans, NY 11412-2900 | 2016-01-02 |
| 1144698218 | Collins Ihunnia | Registered Nurse | 20514 Linden Blvd, Suite 204, Saint Albans, NY 11412-2900 | 2015-09-08 |
| 1215303896 | Candace Patterson-beach | Registered Nurse | 20514 Linden Blvd, Suite 204, Saint Albans, NY 11412-2900 | 2015-08-18 |
| 1033595913 | Christina Thomas | Licensed Practical Nurse | 20514 Linden Blvd, Suite 204, Saint Albans, NY 11412-2900 | 2015-08-03 |
| 1033595962 | Marricia Scott | Licensed Practical Nurse | 20514 Linden Blvd, Suite 204, Saint Albans, NY 11412-2900 | 2015-08-03 |
| 1902281090 | Michelle Liza Alisca | Registered Nurse | 20514 Linden Blvd, 204, Saint Albans, NY 11412-2900 | 2015-07-30 |
| 1750766051 | Nadesha Maitland | Licensed Practical Nurse | 20514 Linden Blvd, Suite 204, Saint Albans, NY 11412-2900 | 2015-07-28 |
| 1700281649 | Shereen-gale Marsh | Registered Nurse | 20514 Linden Blvd, Saint Albans, NY 11412-2900 | 2014-11-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780901 | Emilsie Guerlaine Leconte | Licensed Practical Nurse | 19216 119th Ave, Saint Albans, NY 11412 | 2018-12-04 |
| 1124535554 | Pamela Ceclia Worrell-springer | Registered Nurse | 188-19 104th Ave, St. Albans, NY 11412 | 2018-01-08 |
| 1639681786 | Dr Bryant Medical Practice PC | Internal Medicine | 20515 Hollis Ave, Saint Albans, NY 11412 | 2017-10-30 |
| 1760907547 | Chudney Desarme | Licensed Practical Nurse | 190-24 111th Ave, Saint Albans, NY 11412 | 2017-08-14 |
| 1194266973 | Samantha Amanda Bailey | Licensed Practical Nurse | 117-35 195th Street, St Albans, NY 11412 | 2017-03-14 |
| 1659826543 | Rachel Colin | Nurse Practitioner | 109-02 201 Street, Jamaica, NY 11412 | 2016-08-20 |
| 1093173387 | Sharon Magwood | Specialist | 189-11 116th. Rd., 2nd. Fl, St.albans, NY 11412 | 2016-02-02 |
| 1790164374 | Wise Pharmacy LLC | Health Maintenance Organization | 189-01 Linden Blvd, Saint Albans, NY 11412 | 2015-05-28 |
| 1366833683 | Gordon's Cognitive Balance Center Inc | Community Health Worker | 113-41 Farmers Blvd, St. Albans, NY 11412 | 2015-02-09 |
| 1225458003 | Natasha Mcmillan | Student in an Organized Health Care Education/Training Program | 187-27 Dunkirk Dr, St. Albans, NY 11412 | 2014-04-21 |
| Find all providers in zip 11412 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518349554 | Jennifer Brennan | Nurse Practitioner | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2015-06-26 |
| 1558625715 | Christa Nicole Hackney | Nurse Practitioner | 107 Fisher Pond Rd, Saint Albans, VT 05478-6286 | 2012-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518794 | Johnson Oppong | Nurse Practitioner | 160 Theodore Fremd Ave Apt C2, Rye, NY 10580-2842 | 2020-11-08 |
| 1619578366 | Jecinter L Otieno | Nurse Practitioner | 195 Hillside Dr, Oneonta, NY 13820-3611 | 2020-11-07 |
| 1073113833 | Natalie Grant-villegas | Nurse Practitioner | 1210 Fulton St Apt 1, Brooklyn, NY 11216-2003 | 2020-10-29 |
| 1780284869 | Mary Gwynne Tillotson | Nurse Practitioner | 82 Oxford Ave, Buffalo, NY 14209-1406 | 2020-10-28 |
| 1780284273 | Angela Abramov | Nurse Practitioner | 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 | 2020-10-26 |
| 1407455967 | Marie J. Schwarz, Npp-bc PC | Nurse Practitioner | 133 E Main St Ste 3h, Babylon, NY 11702-3517 | 2020-10-25 |
| 1720687015 | Ashley Winn | Nurse Practitioner | 367 E Chester St, Long Beach, NY 11561-2324 | 2020-10-19 |
| 1114525961 | Tanya Monique Sydnor Holmes | Nurse Practitioner | 1601 Baldwin Blvd, Bay Shore, NY 11706-2145 | 2020-10-14 |
| 1669079976 | Mary Lynn Good | Nurse Practitioner | 3344 Chambers Rd # 200, Horseheads, NY 14845-1403 | 2020-10-08 |
| 1376140277 | Megan Elizabeth Bhatti | Nurse Practitioner | 2104 Delaware Ave Apt 1, Buffalo, NY 14216-3216 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | SAINT ALBANS |
| Zip Code | 11412 |
Please comment or provide details below to improve the information on MARIE ANNE MANCUSO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.