DR. MARLENE MARIE MANCUSO (NPI# 1952561540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952561540 |
| Entity Type | Individual |
| Full Name | DR. MARLENE MARIE MANCUSO |
| Credential | M.D. |
| Practice Address |
1155 Northern Blvd Manhasset NY 11030-3040 |
| Mailing Address |
990 Stewart Ave Suite 400 Garden City NY 11530-4822 |
| Practice Telephone | 5162222022 |
| Mailing Telephone | 5162222022 |
| Mailing Fax Number | 5162228475 |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2012-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 244998 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1155 NORTHERN BLVD |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285630368 | Jay J Dubowsky | Internal Medicine | 1155 Northern Blvd, Manhasset, NY 11030-3040 | 2005-06-23 |
| 1164876744 | Jacqueline O'boyle | Family Medicine | 1155 Northern Blvd, Manhasset, NY 11030 | 2016-04-20 |
| 1952726143 | Jason H Tam | Orthopaedic Surgery | 1155 Northern Blvd, Manhasset, NY 11030-3040 | 2014-02-25 |
| 1386873487 | Great Neck Gastro, Pllc | Internal Medicine | 1155 Northern Blvd, Suite 360, Manhasset, NY 11030-3040 | 2009-07-09 |
| 1649438441 | Pruthvi Patel | Internal Medicine | 1155 Northern Blvd, Manhasset, NY 11030-3040 | 2008-05-28 |
| 1568629814 | Michael A Spinelli | Internal Medicine | 1155 Northern Blvd, Suite 330, Manhasset, NY 11030-3040 | 2008-05-22 |
| 1285809533 | Susan M.palleschi, Md | Surgery | 1155 Northern Blvd, Ste 310, Manhasset, NY 11030-3040 | 2008-04-28 |
| 1609059849 | Arnold S Breitbart Md Facs Pllc | Plastic Surgery | 1155 Northern Blvd, Suite 110, Manhasset, NY 11030-3040 | 2007-12-11 |
| 1538255567 | Arnold S Breitbart | Plastic Surgery | 1155 Northern Blvd, Suite 110, Manhasset, NY 11030-3040 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912167792 | Roy Nelson | Surgery | 56 Drake Ln, Manhasset, NY 11030-1228 | 2008-06-14 |
| 1821158999 | Brian Pinard | Surgery | Nsuh Dept of General Surgery, 300 Community Drive, Manhasset, NY 11030 | 2006-12-11 |
| 1467532044 | East Shore Specialized Services, Inc. | Surgery | 315 E Shore Rd, Manhasset, NY 11030-2923 | 2006-10-17 |
| 1881692200 | Eugene Rubach | Surgery | 139 Plandome Road, Manhasset, NY 11030-2331 | 2005-07-10 |
| 1578982187 | Chetna Bakshi | Surgery | 300 Community Dr, Manhasset, NY 11030-3816 | 2014-04-10 |
| 1467748657 | Etieno Usen Umobong | Surgery | 300 Community Dr, 4dsu, Manhasset, NY 11030-3816 | 2011-06-26 |
| 1215254826 | Bilge Dicle Kalyon | Surgery | 300 Community Dr, Manhasset, NY 11030-3816 | 2010-04-23 |
| 1790944304 | Maria Georgiades Sfakianos | Surgery | 300 Community Dr, Surgical Trailer, Manhasset, NY 11030-3816 | 2008-06-09 |
| 1285809533 | Susan M.palleschi, Md | Surgery | 1155 Northern Blvd, Ste 310, Manhasset, NY 11030-3040 | 2008-04-28 |
| 1194905299 | Phillip Dean Smith | Surgery | 300 Community Dr, Manhasset, NY 11030 | 2007-11-06 |
| Find all providers in MANHASSET | ||||
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| 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.