National Provider Identifier

Susan Carrie Mancuso, FNP

Susan Carrie Mancuso, FNP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 829-3316.

NPI 1063413375Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1063413375
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
August 09, 2005
Last Updated
July 08, 2007

Practice Location

  • 3435 Main St
  • University Of Buffalo /Michael Hall
  • Buffalo, NY 14214-3001

Phone: (716) 829-3316

Mailing Address

  • 720 Lafayette Ave
  • Buffalo, NY 14222-1448

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1063413375
Entity Type
Individual
Last Name
Mancuso
First Name
Susan
Middle Name
Carrie
Name Prefix
MS.
Credential
FNP
Mailing Street Address
720 Lafayette Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14222-1448
Mailing Country
US
Mailing Phone
(716) 885-6507
Practice Street Address
3435 Main St
Practice Address Line 2
University Of Buffalo /Michael Hall
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-3001
Practice Country
US
Practice Phone
(716) 829-3316
Practice Fax
(716) 829-2564
Enumeration Date
August 09, 2005
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)