National Provider Identifier

Ashley E Mancuso

Ashley E Mancuso is listed in the NPPES registry with a primary specialty of Registered Nurse in Fairport, NY and a listed phone number of (585) 770-3356.

NPI 1104472810Fairport, NYRegistered Nurse

Profile Overview

NPI
1104472810
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
August 18, 2019
Last Updated
August 18, 2019

Practice Location

  • 164 Jefferson Ave
  • Fairport, NY 14450-1912

Phone: (585) 770-3356

Specialties

  • Registered Nurse (163W00000X)

Endpoints

  • me

    Other Url | Direct | Other | Fairport, NY 14450

Full Record
NPI
1104472810
Entity Type
Individual
Last Name
Mancuso
First Name
Ashley
Middle Name
E
Mailing Street Address
164 Jefferson Ave
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-1912
Mailing Country
US
Mailing Phone
(585) 770-3356
Practice Street Address
164 Jefferson Ave
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-1912
Practice Country
US
Practice Phone
(585) 770-3356
Enumeration Date
August 18, 2019
Last Updated
August 18, 2019
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)
Other Identifiers
357730319 (NY, Drives Liscence)