Peter Mancuso (NPI# 1558339200, PAC ID# 6204820509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1558339200 |
| PAC ID by PECOS | 6204820509 |
| Professional Enrollment ID | I20040410000118 |
| Full Name | Peter Mancuso |
| Address |
620 Suffolk Ave Brentwood NY 11717-4306 |
| Phone Number | 6312311401 |
| Gender | M |
| Credential | DPM |
| Graduation Year | 1998 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330043 | NS/LIJ HS SOUTHSIDE HOSPITAL |
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 620 Suffolk Ave, Brentwood, NY 11717-4306 | 6312311401 |
| Street Address |
620 SUFFOLK AVE |
| City | BRENTWOOD |
| State | NY |
| Zip | 11717-4306 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roberto I Toledo | Clinical Social Worker | 376 Hancock St, Brentwood, NY 11717-2854 | |
| Hector Antonio Melgar | Physical Therapy | 21 Washington Ave, Brentwood Phys Ther, Brentwood, NY 11717-3215 | |
| Ana A Carrion | Clinical Social Worker | 14 Washington Ave, Suite 2, Brentwood, NY 11717-3247 | |
| Christopher S Durant | Orthopedic Surgery | 652 Suffolk Ave, Suite 210, Brentwood, NY 11717-4305 | |
| Sarita K. Dorschug | Family Medicine | 652 Suffolk Ave, Suite 208, Brentwood, NY 11717-4305 | |
| Vivian Lee Renta-skyer | Optometry | Sight Medical Doctors Pllc | 601 Suffolk Ave, Brentwood, NY 11717-4309 |
| Neil S Nichols | Ophthalmology | Sight Medical Doctors Pllc | 601 Suffolk Ave, Brentwood, NY 11717-4309 |
| Aaron Avni | Ophthalmology | Sight Medical Doctors Pllc | 601 Suffolk Ave, Brentwood, NY 11717-4309 |
| Raju Sarwal | Ophthalmology | Sight Medical Doctors Pllc | 601 Suffolk Ave, Brentwood, NY 11717-4309 |
| Catherine C Scandiffio | Optometry | Sight Medical Doctors Pllc | 601 Suffolk Ave, Brentwood, NY 11717-4309 |
| Find all physicians in zip 11717 | |||
| City | BRENTWOOD |
| Zip Code | 11717 |
| Specialty | PODIATRY |
| City + Specialty | BRENTWOOD + PODIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.