Individual provider · Type 1 NPI
Gloria Kay Mancuso, OG NP
Obstetrics & Gynecology Nurse Practitioner · Patchogue, NY
NPI number
1962411181
Active
Practice location
365 East Main St, South Brookhaven Health Center West
Patchogue, NY 11772
Fax (631) 854-1310
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner Primary | 363LX0001X | F390002 (NY) |
Obstetrics & Gynecology Nurse Practitioner: Definition to come...
3 other providers at this address
About NPI 1962411181
Gloria Kay Mancuso, OG NP's National Provider Identifier is 1962411181, issued on Aug 5, 2006. The primary taxonomy on file is Obstetrics & Gynecology Nurse Practitioner (363LX0001X), and the practice location is in Patchogue, NY. The record was last updated on Jul 8, 2007.